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Nasal foreign bodies in the paediatric emergency department

Lisa Dann1, Jaime Doody2, Ruth Howard3

  • 1Emergency Department, Our Lady's Children's Hospital Crumlin, Drimnagh Road, Dublin 12, Ireland. lisa_dann@hotmail.com.

Irish Journal of Medical Science
|March 13, 2019
PubMed

Insights

Emergency department (ED) staff successfully managed most pediatric nasal foreign body (FB) cases. Developing national guidelines can improve patient care and minimize complications during FB removal.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology

Background:

  • Nasal foreign bodies (FBs) can cause irritation, inflammation, mucosal erosion, and aspiration risk.
  • Effective management in the Emergency Department (ED) is crucial for pediatric patients.

Purpose of the Study:

  • To describe the management protocols for nasal FBs in a tertiary pediatric ED.
  • To evaluate the success rates and methods of FB removal by ED staff.

Main Methods:

  • Retrospective study of 100 pediatric patients with suspected nasal FBs.
  • Data collected included patient demographics, FB type, removal techniques, and outcomes.
  • Analysis of interventions by ED staff versus Ear, Nose, and Throat (ENT) specialists.

Main Results:

  • 78% of visualized nasal FBs were successfully removed by ED staff.
  • 16 cases required referral to ENT for removal, with some managed in the ED and others in outpatient clinics.
  • The median age of patients was 3.4 years.

Conclusions:

  • ED physicians and advanced nurse practitioners effectively managed the majority of pediatric nasal FB cases.
  • Minimizing complications and repeated removal attempts is a key management goal.
  • National guidelines for topical anesthetic use, imaging, and limiting removal attempts are recommended to enhance care.
Abstract

Keywords:
EmergencyForeign bodyNasalPaediatrics

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