{"id":5199,"date":"2020-09-10T15:03:19","date_gmt":"2020-09-10T13:03:19","guid":{"rendered":"https:\/\/temporary.mindd.dev\/?p=5199"},"modified":"2024-05-17T10:22:35","modified_gmt":"2024-05-17T08:22:35","slug":"case-coin-cell-battery-ingestion-in-a-small-child-by-regional-inquiry-committee","status":"publish","type":"post","link":"https:\/\/huisartsenpostendelimes.nl\/en\/nieuws\/case-coin-cell-battery-ingestion-in-a-small-child-by-regional-inquiry-committee\/","title":{"rendered":"Case study: button cell battery ingestion in a small child by regional committee of inquiry"},"content":{"rendered":"\n

A coin cell battery\nIngestion can have major consequences for a child. Recently, such a\nsituation occurred, where the incident was not recognized. After 10 days\nthe 14-month-old child was admitted with severe shortness of breath,\na battery on the chest X-ray became visible by surprise. An emergency procedure and\nICU admission was necessary to alleviate the severe damage to the oesophagus.\nrepair. This was followed by a long recovery phase; both somatic and psychological\nthe incident has left its mark. <\/p>\n\n\n\n

How\nDo you recognize it?                                                <\/em><\/p>\n\n\n\n

For a corpus alienum\ningestion, especially a button cell battery: you have to think about it!!\nThe initial complaints were: acute moment, after which the child became restless, a large\ngave up the amount of white mucus, didn’t want to eat and drank less, vomited.\nFrom the beginning there was shortness of breath (pseudocroup-like) about the 9 days\nIncreased. <\/p>\n\n\n\n

There\nis not a guideline for general practitioners on this subject. The FMS mentions as\nsymptoms: wheezing, coughing, stridor and choking, drooling, dysphagia,\nodynophagia (pain when swallowing), globus sensation, vomiting, food refusal,\nabdominal pain, chest pain, fever and irritability. A sore neck and\nDrooling in food bolus impaction indicates an esophageal obstruction. <\/p>\n\n\n\n

However\nThe absence of symptoms does not preclude ingestion of a corpus alienum.\nAfter all, 90% leave the body without any problems. The story of the parents is\nleading. <\/p>\n\n\n\n

When\nthere is suspicion, a chest X-ray is the appropriate examination. <\/p>\n\n\n\n

Pitfalls<\/em><\/p>\n\n\n\n

What stood out about the case was\nthat the acute moment was not recognized as such. The first triage nurse and\ndoctors have a key role in this. The doctors who follow will hear more about the\nThen walk about that important acute moment. The disadvantage was and is in the\nthat the individual symptoms were not alarming and that it was\nthe child’s condition is not such that immediate action is taken.\nhad to be. <\/p>\n\n\n\n

Another pitfall is the\nlarge number of stakeholders; In 9 days, numerous triage nurses will have parents\nand numerous doctors have seen the child, including a number of contacts\nwith their own GPs. Even it is because of pseudocroup complaints by the\npediatrician treated; He (temporarily) recovered with the\ntreatment (dexamethasone). None of the doctors have seen the child twice. This would\nthe opportunity to make a comparison.<\/p>\n\n\n\n

Reading back, the\nshortness of breath gradually increases. There was no fever, and there was no\ndifference between morning and evening. It resembled pseudocroup, but atypical.\nPerhaps this will be signalled when one of the people involved is alerted\nthrough the many contacts, together with parents, lists the entire course. <\/p>\n\n\n\n

Summarized:<\/em><\/p>\n\n\n\n