PaediatricsEmergency MedicineENT
Paediatric Foreign Body Inhalation
Sudden onset choking + cough/wheeze in a young child — recognition, basic life support manoeuvres, urgent bronchoscopy.
Source: RCUK 2021 Paediatric Choking; ENT UK
Step 1 of ~6
info
Recognise
Sudden onset coughing/choking/wheeze in a young child (peak 1–3y), often during eating or playing with small objects (peanuts, beads, batteries, magnets, button batteries — see toxicology). Asymmetric breath sounds, monophonic wheeze, focal crackles. Recurrent pneumonia in same lobe. CXR may be normal initially or show air trapping (expiratory film), atelectasis, or radio-opaque object. Verify all paediatric drug doses against BNFc.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Salbutamol (Paediatric — Asthma/Wheeze) · Short-Acting Beta-2 Agonist (SABA)
- Nitrous oxide · Inhalation anaesthetic / analgesic
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
- Prednisolone (Sudden Sensorineural Hearing Loss) · Corticosteroid (systemic — SSNHL treatment)
- Melatonin · Melatonin Receptor Agonist
- Enteral feeds · Nutritional support
Decision support only. Always apply local guidelines and clinical judgement.