Foreign Body Removal from the External Auditory Canal in a Pediatric Emergency Department

Current recommendations for the management of pediatric foreign body ingestions are based on studies of patients cared for at tertiary care hospitals; they call for aggressive evaluation because of a high incidence of complications. Two hundred forty-four children with suspected foreign body ingestions were prospectively followed to analyze adverse outcomes, ie, procedures, complications, and hospitalizations. Patient enrollment into the study was from three sources: (1) patients who referred themselves to a tertiary pediatric emergency department, (2) patients referred to the same tertiary pediatric emergency department after an initial evaluation by another hospital or physician, and (3) Patients who reported their foreign body ingestions to a private pediatric practitioner participating in the study. Most children were well toddlers in normal circumstances, under parent supervision at the time of ingestion. Coins were the most common item ingested (46%). Procedures were done in 53 (24%) of 221 patients and complications occurred in 48 (22%) of 221. Complications were higher in patients referred to the emergency department (63%) than in emergency department self-referred patients (13%) or private practice patients (7%) (x2, P < .01). These findings demonstrate the risk of drawing conclusions regarding a universal standard of care from studies involving only hospital-based patients.

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Foreign body aspiration in an 11-month-old child; the importance of anamnesis and respiratory examination

Journal of Pediatrics & Neonatal Care ◽

10.15406/jpnc.2020.10.00429 ◽

2020 ◽

Vol 10 (6) ◽

pp. 156-157

Author(s):

Muhammet Mesut Nezir ENGİN ◽

Fatih ERDOĞAN ◽

Özlem KÜÇÜK ◽

Murat KAYA

Keyword(s):

Emergency Department ◽

Case Report ◽

Foreign Body ◽

Respiratory Distress ◽

Mortality Rates ◽

Pediatric Emergency ◽

Foreign Body Aspiration ◽

Morbidity And Mortality ◽

Pediatric Emergency Department ◽

Delay In Diagnosis

Foreign body aspiration (FBA) is common in children. Especially in children, the majority of accidental deaths occur due to FBA. Morbidity and mortality rates increase, especially in children between the ages of one and four, and as a result of delay in diagnosis. The most common symptoms in patients with FBA are cough, dyspnea, hemoptysis, stridor and wheezing. In this case report, a patient who presented with sudden respiratory distress in the Pediatric Emergency Department was presented and the importance of anamnesis and respiratory examination in the diagnosis of FBA was emphasized.

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The utility of handheld metal detector in confirming metallic foreign body ingestion in the pediatric emergency department

The Turkish Journal of Gastroenterology ◽

10.4318/tjg.2010.0071 ◽

2010 ◽

Vol 21 (2) ◽

pp. 135-139 ◽

Cited By ~ 2

Author(s):

Eylem Ulas SAZ ◽

Cigdem ARIKAN ◽

Funda OZGENC ◽

Muhterem DUYU ◽

Yeliz OZANANAR

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Pediatric Emergency ◽

Foreign Body Ingestion ◽

Pediatric Emergency Department ◽

Metallic Foreign Body ◽

Metal Detector

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Point-Of-Care Ultrasound Findings Associated With Foreign Body Aspiration in the Pediatric Emergency Department

Pediatric Emergency Care ◽

10.1097/pec.0000000000000842 ◽

2016 ◽

Vol 32 (7) ◽

pp. 486-488 ◽

Cited By ~ 3

Author(s):

Kirstin D. Weerdenburg ◽

Charisse W. Kwan ◽

Jason W. Fischer

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Point Of Care ◽

Pediatric Emergency ◽

Foreign Body Aspiration ◽

Point Of Care Ultrasound ◽

Pediatric Emergency Department ◽

Ultrasound Findings

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Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department

Children ◽

10.3390/children8100938 ◽

2021 ◽

Vol 8 (10) ◽

pp. 938

Author(s):

Honoria Ocagli ◽

Danila Azzolina ◽

Silvia Bressan ◽

Daniele Bottigliengo ◽

Elisabetta Settin ◽

...

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Pediatric Emergency ◽

Incidence Rates ◽

Pediatric Emergency Department ◽

Injury Incidence ◽

Poisson Models ◽

Life Threatening ◽

Trends Over Time ◽

Over Time

This paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-years were calculated. Univariable and multivariable generalized linear (GLM) Poisson models were estimated to evaluate the relationship between FB injury incidence and year, triage priority, nationality, injury site, and FB type. During the study period, there were 217,900 presentations of pediatric residents in the province of Padova; of these, 3084 (1.5%) reported FB injuries involving the ears, nose, throat, gastrointestinal tract or eyes. The annual IR of FB injury episodes increased from 10.45 for 1000 residents in 2007 (95% CI, 9.24, 11.77) to 12.66 for 1000 residents in 2018 (95% CI, 11.35, 14.08). Nonfood items were the FBs that were most frequently reported. The intermediate urgent triage code was the most represented for FB injuries, with IRs ranging from 5.44 (95% CI: 4.59, 6.40) in 2008 to 8.56 in 2018 (95% CI: 7.50, 9.74). A total of 170 patients who presented for FB injuries were hospitalized (5.5%). The annual FB-related injury IR has increased over time, although most episodes are not life threatening. Educational and prevention programs on FB-related injuries should be promoted and dedicated to childcare providers.

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