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Guidelines for Elective Pediatric Fiberoptic Intubation
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Pediatric button battery injuries: 2013 task force update.

Kris R Jatana1, Toby Litovitz, James S Reilly

  • 1Department of Otolaryngology-Head and Neck Surgery, Nationwide Children's Hospital and Wexner Medical Center at Ohio State University, Columbus, OH 43205, United States. Kris.Jatana@osumc.edu

International Journal of Pediatric Otorhinolaryngology
|July 31, 2013
PubMed
Summary
This summary is machine-generated.

Button battery ingestion in children is rising, causing severe injuries and death. A national task force is developing prevention strategies to address this critical public health issue.

Keywords:
Battery injuryButton batteryForeign bodyPediatric injury

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Area of Science:

  • Pediatric Medicine
  • Public Health
  • Medical Device Safety

Background:

  • A significant increase in severe pediatric injuries from button battery ingestion has been observed over the past decade.
  • Ingestion of button batteries, especially those 20mm or larger, can lead to rapid, life-threatening esophageal damage, including aortic erosion and fatal hemorrhage.
  • Initial symptoms can be non-specific, delaying diagnosis until catastrophic injury occurs.

Purpose of the Study:

  • To highlight the escalating problem of pediatric button battery ingestions and their severe consequences.
  • To provide an update on the formation and multi-faceted approach of a national Button Battery Task Force dedicated to injury prevention.
  • To summarize expert discussions on mitigation strategies presented at the 2013 American Broncho-Esophagological Association (ABEA) Meeting.

Main Methods:

  • Review of injury incidence trends related to pediatric button battery ingestions.
  • Description of the collaborative efforts of a national Button Battery Task Force comprising medical, public health, industry, poison control, and government representatives.
  • Summary of findings and recommendations from an expert panel discussion at the ABEA Meeting.

Main Results:

  • Button battery ingestions pose a rapidly escalating risk to children, with larger batteries (≥20mm) posing a higher threat of esophageal impaction and severe injury.
  • A national task force has been established, employing a comprehensive strategy involving diverse stakeholders to prevent these injuries.
  • Expert consensus highlights the urgency and outlines key areas for intervention and prevention.

Conclusions:

  • The rise in severe pediatric button battery injuries necessitates urgent, multi-faceted prevention efforts.
  • Collaboration between medicine, public health, industry, and government is crucial for effective injury mitigation.
  • Continued vigilance and implementation of task force strategies are essential to reduce the incidence of these life-threatening events.