ohiovolffemtp Posted March 16 Share Posted March 16 I just had a 10 y/o/f who swallowed a button battery - one of the larger ones, approx 2.25 cm. Plain films showed it lodged in her esophagus about at the level of the carina. The esophagus was not completely obstructed. She was accepted immediately by surgery at the state's tertiary children's hospital as an ED => ED transfer. The ED attending had me give the patient sucralfate suspension prior to transfer. I'd not heard of this before, but apparently it's intended to coat the esophagus to reduce erosion. The flight crew also suggested giving the patient honey. I'd not heard of either before - has anyone else? Quote Link to comment Share on other sites More sharing options...
SedRate Posted March 16 Share Posted March 16 (edited) No, but that does make sense to me (as long as giving something PO doesn't precipitate erosion of the battery). I wonder if one of our GI and/or peds ER specialists can weigh in with any additional insight. Edited March 16 by SedRate Quote Link to comment Share on other sites More sharing options...
MediMike Posted March 19 Share Posted March 19 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486471/ https://www.chop.edu/news/ingesting-honey-after-swallowing-button-battery-reduces-injury-and-improves-outcomes Never heard of this but seems well accepted, apparently there is a 12 hour time cut off to use this approach? Wonder if there is a higher risk of perforation at that time? Quote Link to comment Share on other sites More sharing options...
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