Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Document Type
Journal ArticlePublication Date
2018-11-01Keywords
anxiolysisoral foreign body
partial airway obstruction
pediatric trauma
wood foreign body
Emergency Medicine
Pediatrics
Trauma
Metadata
Show full item recordAbstract
BACKGROUND: Pediatric foreign-body ingestions are common. Oral foreign bodies are rare but can be life-threatening. Management of their extraction requires knowledge and careful consideration of removal techniques, pharmacology, and potential complications. CASE REPORT: A 5-year-old boy presented to the emergency department with a wooden block retained in his mouth after a fall. The block was lodged behind the patient's primary central incisors without causing apparent oral or dental trauma. Initial manipulation was unsuccessful given patient apprehension and muscle spasm. The patient was given i.v. diazepam for anxiolysis and muscle relaxation, and a tenaculum was used to extract the object. He was observed for a period of time and had no complications. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Retained oral foreign bodies in children require a careful approach and understanding of pharmacologic anxiolysis, as patients may not be candidates for moderate sedation. Emergency physicians must be aware of potential complications of oral foreign bodies, including palatal injury, temporomandibular joint dislocation, epiglottitis, and retained foreign bodies.Source
J Emerg Med. 2018 Nov 1. pii: S0736-4679(18)30965-X. doi: 10.1016/j.jemermed.2018.09.046. [Epub ahead of print] Link to article on publisher's site
DOI
10.1016/j.jemermed.2018.09.046Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43661PubMed ID
30391143Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jemermed.2018.09.046