Foreign Bodies

Question 1

Airway

Answer 1

• Hx - type, time, pain, dysphagia, breathing
• Examination - tongue base, tonsils, neck
• Investigation - lateral neck XR, CXR?
• Assess airway risk
• If trying to remove have ‘one good try’
  
  • Good restraint
  • Good light
  • Good instrument
• If fails GA?
• Button batteries ASAP

Question 2

Ears

Answer 2

• More common in school aged children
• Do not attempt to remove unless have appropriate skill and equiptment
• Button batteries need removed ASAP
• Insects should be drowned (spirit drops/olive oil)
• Inspect EAC and TM post removal
• Methods include:
  
  • Syringing
  • Suctioning
  • Fine hook
• Uncomplicated perforations usually heal in 6 weeks and do not require review