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Clinical guideline for retained button batteries

Rory Houston1, Steven Powell2, Bruce Jaffray3

  • 1Department of Otolaryngology, Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, Newcastle upon Tyne, UK roryhouston@doctors.org.uk.

Archives of Disease in Childhood
|February 12, 2020
PubMed

Insights

Emergency guidelines for retained button batteries (RBBs) in the UK showed significant variation. A new consensus guideline was developed to standardize the immediate investigation and management of RBBs in emergency care settings.

Area of Science:

  • Emergency Medicine
  • Clinical Guideline Development
  • Pediatric Safety

Background:

  • Retained button batteries (RBBs) pose a significant risk, particularly in pediatric patients, necessitating standardized emergency management protocols.
  • Existing guidelines for RBB management within UK National Health Service (NHS) hospitals exhibit considerable variation in assessment, investigation, and treatment approaches.
  • A critical need exists for a unified, evidence-based guideline to ensure consistent and effective emergency care for RBB ingestions.

Framework:

  • A comprehensive analysis of current UK NHS hospital guidelines for RBB management was conducted.
  • Published literature on the emergency management of RBBs informed the guideline development process.
  • Multidisciplinary input was sought to create a consensus-based clinical guideline.

Implementation:

  • The developed guideline is a single-page document designed for immediate use by frontline healthcare professionals in emergency departments.
  • The guideline focuses on the initial investigation and management of patients presenting with RBBs.
  • The guideline has been officially published by ENT UK (British Association of Otorhinolaryngology and Head and Neck Surgery) as a clinical guideline.

Implications:

  • The new guideline aims to standardize and improve the immediate care provided to patients with RBBs, reducing variability in practice.
  • Enhanced consistency in management is expected to improve patient outcomes and reduce potential complications associated with RBBs.
  • The guideline's publication by ENT UK facilitates its widespread adoption and integration into emergency care protocols across the UK.
Abstract

Keywords:
ENTaccident & Emergencygeneral paediatrics

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