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Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome.
Kathleen S Jordan1, Cody Carpenter, Sara H Steelman
1Author Affiliations: Pediatric Emergency Department, Mid-Atlantic Emergency Medicine Associates, Charlotte, North Carolina (Drs Carpenter and Steelman) and UNC Charlotte School of Nursing, Charlotte, North Carolina (Dr Jordan).
Advanced Emergency Nursing Journal
|March 19, 2025
Summary
Button battery ingestion is a critical emergency, especially in children under 6. Immediate removal of lodged batteries is vital to prevent severe tissue damage and fatalities.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Gastroenterology
Background:
- Foreign body ingestion is a frequent emergency department visit for children and adults.
- Button battery ingestion, particularly in children under 6, poses a significant risk of fatal injury.
- Increased availability of consumer electronics has led to a rise in button battery ingestions.
Purpose of the Study:
- To highlight the dangers of button battery ingestion.
- To emphasize the need for prompt diagnosis and management.
- To advocate for increased awareness and public safety measures.
Main Methods:
- Review of clinical presentation and emergency management of button battery ingestions.
- Emphasis on radiographic diagnosis and immediate endoscopic removal.
- Discussion of potential complications and preventative strategies.
Main Results:
- Button batteries lodged in the esophagus can cause severe tissue damage within 2 hours.
- Ingested button batteries carry a high risk of complications, including death.
- Nonspecific symptoms like fussiness, drooling, and refusal to eat may indicate ingestion.
Conclusions:
- Emergency providers must maintain a high index of suspicion for button battery ingestion.
- Radiographs are crucial for diagnosis and should not be delayed.
- Public advocacy and education are essential to prevent button battery-related injuries.
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