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FOREIGN BODY REMOVAL
Timing
- Urgent: airway compromise
- Unnecessary: some deep metal fragments
May be difficult or time-consuming; patient should be anaesthetized
X-ray or fluoroscopy is recommended for removal of radiopaque objects: pins, needles, glass
Foreign bodies in cranium, chest, abdomen, close proximity to vital structures must be removed in operating theatre with team prepared to manage possible complications
FOREIGN BODIES: EAR
Try irrigation unless contraindicated Gentle suction Gentle hook extraction
FOREIGN BODIES
Eye
Sterile saline wash
Refer if imbedded in eye
Nose
Similar to ear
Airway
Heimlich maneuver
Bronchoscopy
GI tract
Most pass if smooth
Refer if sharp or obstruction