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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

Module2_42 Try irrigation unless contraindicated Gentle suction Gentle hook extraction
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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
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