Inhaled Foreign Bodies In Pediatric Patients.pdf


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VISIT US AT
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AT THE ACEP
SCIENTIFIC ASSEMBLY
BOSTON, MA
OCTOBER 26-28

Inhaled Foreign Bodies In
Pediatric Patients: Proven
Management Techniques In
The Emergency Department
Abstract

Adam E. Vella, MD, FAAP
Associate Professor of Emergency
Medicine, Pediatrics, and Medical
Education, Director Of Pediatric
Emergency Medicine, Icahn School
of Medicine at Mount Sinai, New
York, NY

Associate Editor-in-Chief
Vincent J. Wang, MD, MHA
Associate Professor of Pediatrics,
Keck School of Medicine of USC;
Associate Division Head, Division
of Emergency Medicine, Children's
Hospital Los Angeles, Los Angeles,
CA

Editorial Board
Jeffrey R. Avner, MD, FAAP
Professor of Clinical Pediatrics
and Chief of Pediatric Emergency
Medicine, Albert Einstein College
of Medicine, Children’s Hospital at
Montefiore, Bronx, NY
Steven Bin, MD
Associate Clinical Professor
of Emergency Medicine and
Pediatrics, UCSF School of
Medicine; Medical Director, Division
of Pediatric Emergency Medicine,
UCSF Benioff Children's Hospital,
San Francisco, CA
Richard M. Cantor, MD, FAAP,
FACEP
Professor of Emergency Medicine
and Pediatrics, Director, Pediatric
Emergency Department, Medical
Director, Central New York Poison
Control Center, Golisano Children's
Hospital, Syracuse, NY

Authors
Megan Maraynes, MD
Director, Pediatric Emergency Department, Ochsner Medical Center
Emergency Department, School of Medicine of the University of
Queensland/Ochsner Clinical School, New Orleans, LA
Konstantinos Agoritsas, MD
Director, Pediatric Emergency Medicine, Kings County Hospital
Center, Brooklyn, NY; Clinical Assistant Professor, State University
of New York Downstate Medical Center, Brooklyn, NY
Peer Reviewers

Foreign body inhalation affects thousands of children every year, and
it remains a significant cause of morbidity and mortality in children.
Inhaled organic or inorganic foreign bodies can become lodged in the
posterior nasopharynx, larynx, trachea, or bronchi. Presentation of foreign body inhalation can range from nonspecific respiratory symptoms
to respiratory failure associated with a choking episode. In this issue, an
in-depth review of the etiology, pathophysiology, diagnosis, and treatment of inhaled foreign bodies is presented. Risk factors for foreign body
inhalation and clinical clues to diagnosis, as well as emergent management of inhaled foreign bodies are reviewed. A systematic approach,
as described in this issue, will aid in timely and accurate diagnosis and
treatment of inhaled foreign bodies, thereby limiting future complications and morbidity.

Editor-in-Chief

October 2015

Volume 12, Number 10

Ilene Claudius, MD
Associate Professor of Emergency
Medicine, Keck School of Medicine
of USC, Los Angeles, CA

Alson S. Inaba, MD, FAAP
Associate Professor of Pediatrics,
University of Hawaii at Mãnoa
John A. Burns School of Medicine,
Division Head of Pediatric
Ari Cohen, MD
Emergency Medicine, Kapiolani
Chief of Pediatric Emergency Medicine
Medical Center for Women and
Services, Massachusetts General
Children, Honolulu, HI
Hospital; Instructor in Pediatrics,
Harvard Medical School, Boston, MA
Madeline Matar Joseph, MD, FAAP,
FACEP
Marianne Gausche-Hill, MD, FACEP,
Professor of Emergency Medicine and
FAAP
Pediatrics, Chief and Medical Director,
Professor of Clinical Medicine,
Pediatric Emergency Medicine
David Geffen School of Medicine
Division, University of Florida Medical
at UCLA; Vice Chair and Chief,
School-Jacksonville, Jacksonville, FL
Division of Pediatric Emergency
Medicine, Harbor-UCLA Medical
Center, Los Angeles, CA
Michael J. Gerardi, MD, FAAP,
FACEP, President
Associate Professor of Emergency
Medicine, Icahn School of Medicine
at Mount Sinai; Director, Pediatric
Emergency Medicine, Goryeb
Children's Hospital, Morristown
Medical Center, Morristown, NJ
Sandip Godambe, MD, PhD
Vice President, Quality & Patient
Safety, Professor of Pediatrics and
Emergency Medicine, Attending
Physician, Children's Hospital of the
King's Daughters Health System,
Norfolk, VA

Stephanie Kennebeck, MD
Associate Professor, University of
Cincinnati Department of Pediatrics,
Cincinnati, OH
Anupam Kharbanda, MD, MS
Research Director, Associate
Fellowship Director, Department
of Pediatric Emergency Medicine,
Children's Hospitals and Clinics of
Minnesota, Minneapolis, MN
Tommy Y. Kim, MD, FAAP, FACEP
Associate Director of Emergency
Medicine and Pediatrics, Loma
Linda University Medical Center and
Children’s Hospital, Loma Linda, CA

Melissa Langhan, MD, MHS
Associate Professor of Pediatrics,
Ran D. Goldman, MD
Fellowship Director, Director of
Professor, Department of Pediatrics,
Education, Pediatric Emergency
University of British Columbia;
Medicine, Yale School of Medicine,
Co-Lead, Division of Translational
New Haven, CT
Therapeutics; Research Director,
Robert Luten, MD
Pediatric Emergency Medicine, BC Professor, Pediatrics and
Children's Hospital, Vancouver, BC,
Emergency Medicine, University of
Canada
Florida, Jacksonville, FL

Steven Bin, MD
Associate Clinical Professor of Emergency Medicine and Pediatrics,
UCSF School of Medicine; Medical Director, Division of Pediatric
Emergency Medicine, UCSF Benioff Children’s Hospital, San
Francisco, CA
Martin I. Herman, MD, FAAP, FACEP
Sacred Heart Children’s Hospital, Pensacola, FL; Florida State
University School of Medicine, Pediatric Residency Department,
Tallahassee, FL
Prior to beginning this activity, see “Physician CME Information”
on the back page.

Garth Meckler, MD, MSHS
AAP Sponsor
Associate Professor of Pediatrics,
Martin I. Herman, MD, FAAP, FACEP
University of British Columbia;
Division Head, Pediatric Emergency Sacred Heart Children's Hospital,
Pensacola, FL; Florida State
Medicine, BC Children's Hospital,
University School of Medicine,
Vancouver, BC, Canada
Pediatric Residency Department,
Joshua Nagler, MD
Tallahassee, FL
Assistant Professor of Pediatrics,
Harvard Medical School; Fellowship International Editor
Director, Division of Emergency
Lara Zibners, MD, FAAP
Medicine, Boston Children’s
Honorary Consultant, Paediatric
Hospital, Boston, MA
Emergency Medicine, St Mary's
James Naprawa, MD
Associate Clinical Professor
of Pediatrics, The Ohio State
University College of Medicine;
Attending Physician, Emergency
Department, Nationwide Children’s
Hospital, Columbus, OH

Hospital, Imperial College Trust;
EM representative, Steering Group
ATLS®-UK, Royal College of
Surgeons, London, England

Pharmacology Editor

James Damilini, PharmD, MS, BCPS
Clinical Pharmacy Specialist,
Joshua Rocker, MD
Emergency Medicine, St. Joseph's
Assistant Professor of Emergency
Hospital and Medical Center,
Medicine and Pediatric, Hofstra
Phoenix, AZ
North Shore-LIJ School of Medicine,
Hempstead, NY; Associate Director, Quality Editor
Division of Pediatric Emergency
Medicine, Cohen Children's Medical Steven Choi, MD
Medical Director of Quality, Director
Center, New Hyde Park, NY
of Pediatric Cardiac Inpatient
Steven Rogers, MD
Services, The Children’s Hospital at
Assistant Professor, University of
Montefiore; Associate Vice President,
Connecticut School of Medicine,
Montefiore Network Performance
Attending Emergency Medicine
Improvement; Assistant Professor of
Physician, Connecticut Children's
Pediatrics, Albert Einstein College of
Medical Center, Hartford, CT
Medicine, Bronx, NY
Christopher Strother, MD
CME
Editor
Assistant Professor, Emergency
Medicine, Pediatrics, and Medical
Deborah R. Liu, MD
Education; Director, Undergraduate
Assistant Professor of Pediatrics,
and Emergency Department
Keck School of Medicine of USC;
Simulation; Icahn School of Medicine
Division of Emergency Medicine,
at Mount Sinai, New York, NY
Children's Hospital Los Angeles,
Los Angeles, CA