Foreign object aspiration or ingestion

Alternative names:

inhalation of a foreign object; obstructed airway; swallowed foreign object

First aid:

FOR ASPIRATION:
Any child who is believed to have aspirated an object should be evaluated by the primary health care provider. Children with obvious respiratory distress may require emergency measures for total airway occlusion. If choking, coughing, subsides and the child is not exhibiting any other symptoms; he or she may be monitored for developing signs and symptoms of respiratory infection or irritation. X-rays may be helpful for diagnosis. Bronchoscopy may be necessary for definitive diagnosis as well as removal of the object. Antibiotics may be used and respiratory therapy techniques if infection develops.

FOR INGESTION:
Any child who is believed to have swallowed a foreign object should be observed for pain, fever, vomiting, or local tenderness. Stools (bowel movements) should be examined to detect passage of the foreign object. Even sharp objects (such as pins, screws) usually pass through the GI tract without complications. X-ray examination is typically not necessary unless the child demonstrates symptoms of distress or the object does not pass within 4 to 5 days. Only 2 to 4% of such cases eventually require surgery for removal of the object.

Do not:

• DO NOT "force feed" infants that are crying or breathing rapidly.

Call immediately for emergency medical assistance if:

• a child is believed to have either aspirated or swallowed an object.