Parts Breakout

ArticleInformationSheet(AIS)
PoisonCenter/NorthAmerica
PoisonCenters/WorldDirectory
http://apps.who.int/poisoncentres
NotetoPhysician
FirstAid‐SkinContact
FirstAid‐Inhalation
Removecontaminatedclothingandflushskinwithrunningwaterforatleast15
minutes.Seekmedicalattentionifirritationpersists.
Contentsofleakingbatterymaybeirritatingtorespiratorypassages.Movetofreshair.
Seekmedicalattentionifirritationpersists.
NotetoPhysician–Forinformationonbatteryidentificationandtreatment,callthe24
hourNATIONALBATTERYINGESTIONHOTLINE(800‐408‐8666).Additionaltreatment
informationisavailablefromtheNATIONALCAPITALPOISONCONTROLCENTER
BUTTONBATTERYINGESTIONTRIAGEANDTREATMENTGUIDELINE:
https://www.poison.org/battery/guideline.Ifthepatientislessthanorequalto12
years,immediatelyobtainanx‐raytolocatethebattery.Ifthepatientis>12yearsand
thebatterydiameteris>than12mmorunknownalsoobtainanx‐ray.X‐raysshould
includetheentireneck,esophagusandabdomen.Oncethepositionofthebatteryin
theesophagusisdeterminedbyx‐rayandiflessthan12hourspostingestionconsider
givingsucralfatesuspension10mlbymouthevery10minutes,upto3doseswhile
waitingforsedationforendoscopy.Donotdelaybatteryremovalbecauseapatienthas
eatenrecentlyorwasgivenhoneyorsucralfatebymouth.Batterieslodgedinthe
esophagusshouldberemovedimmediatelysincebatteryleakage,causticburnsand
perforationcanoccurassoonastwohoursafteringestion.Endoscopicremovalis
preferredasitallowsdirectvisualizationoftissueinjury.Afterthebatteryisremoved
fromtheesophagusifnoperforationisevidentirrigatetheinjuredareawith50mLto
150mLof0.25%sterileaceticacidandthenobservefordelayedcomplications.Ifa
largebattery(equaltoorgreaterthan20mm)isinthestomachorbeyondofachild<5
years,andbasedonhistory,mighthavelodgedintheesophagusfor>2hours,consider
diagnosticendoscopytoexcludetheremotepossibilityofesophagealinjury.Retrieve
batteries,endoscopicallyifpossible,fromthestomachorbeyondif:1)Amagnetwas
alsoingested,2)Thepatientdevelopssignsorsymptomsthatarelikelyrelatedtoa
batteryingestion,or,3)Alargebatteryequaltoorgreaterthan15mmisingestedbya
childyoungerthan6years,remainsinthestomachfor4daysorlonger.Allowbatteries
topassspontaneouslyiftheyhavepassedbeyondtheesophagus(stomachandbeyond)
andnoclinicalindicationofanysignificantgastrointestinalinjuryisevident.Confirm
batterypassagebyinspectingstools.Considerrepeatradiographstoconfirmpassageif
batterypassagenotobservedin10‐14days.
FirstAid–IfbatteryswallowedDONOTGIVEIPECAC.Donotinducevomiting.Seek
medicalattentionimmediatelyandcall24hourNATIONALBATTERYINGESTION
HOTLINE(800‐498‐8666)forassistancewithbatteryidentificationandtreatment.
Attempttodeterminebatteryimprintcode(ordiameter)ofcompanionorreplacement
battery.Ifnoimprintcodeisavailable,measureorestimatethebatterydiameterbased
onthesizeoftheslotthebatteryfitsorthesizeofthecomparablebattery.Providethis
informationtothetreatinghealthcareprovider.Ifthechildisgreaterthan12months
ofageandabletoswallow,andthebatterywasswallowedwithintheprior12hours,if
readilyavailableadministerhoneyimmediatelyandwhileonroutetotheemergency
room.Give10mL(2teaspoons)ofhoneybymouthevery10minutesforupto6doses.
DonotdelaygoingtotheERtoobtainorgivehoney. Otherthanthehoneydonotgive
anythingbymouth.
Flushwithrunningwaterforatleast30minutes.Seekmedicalattentionimmediately.
USA/CANADACALLSONLY:1‐800‐498‐8666(TollFree)[24HourNationalBattery
IngestionHotline]
FirstAid‐Ifswallowed
FirstAid‐EyeContact
AIS‐LiCoin 3of8