The Paediatric Foreign Body Game
Paediatric foreign body insertion or ingestion of objects is common. Removing them, however, can be a tricky task as it depends on where it is and what it’s made of. As such, we have created a quick card game (or revision flashcards) that uncovers the most common foreign objects that are inserted or ingested by children. The aim of the game it to decide what you should do next…
How to play
- There are 10 cases to consider.
- For each case you will need to decide whether to:
- Leave the foreign body in and reassure the family.
- Take out the foreign body in the Children's ED.
- Try to take out the foreign body. But if child does not tolerate, consider leaving it in.
- Removal of the foreign body will require specialist involvement.
- As a group, discuss each case and decide what you would do according to your local guidance.
- (Optional) Score points for each valid answer and tally up at the end.
You can download a print-ready version of the cards by clicking on the button below. We recommend printing in colour, double-sided at either A5 or A6 (may require cutting to size).
References
- ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Decker GA, Fanelli RD, Fisher LR, Fukami N, Harrison ME, Jain R, Khan KM, Krinsky ML, Maple JT, Sharaf R, Strohmeyer L, Dominitz JA. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011 Jun;73(6):1085-91. doi: 10.1016/j.gie.2010.11.010. PMID: 21628009.
- Nafousi O, Pertwee R, Roland D, et al.Management of oesophageal coins in children. Emergency Medicine Journal 2013;30:157-158. Tagg A, Roland D, Leo GS, Knight K, Goldstein H, Davis T; Don’t Forget The Bubbles. Everything is awesome: Don’t forget the Lego. J Paediatr Child Health. 2019 Aug;55(8):921-923. doi: 10.1111/jpc.14309. Epub 2018 Nov 22. PMID: 30565781.
- Andrew Tagg. Ingested Foreign Bodies, Don’t Forget the Bubbles, 2018. Available at: https://doi.org/10.31440/DFTB.15835
