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Inhaled foreign body in a child 🚨 👶
Inhaled foreign body in a child 🚨 👶
An inhaled item may partially obstruct the larynx or bronchus; symptoms can transiently improve despite a retained bronchial foreign body.
🔎 Recognise
Suspect sudden cough, choking, stridor, unilateral wheeze or reduced air entry while eating or playing. A later persistent cough or pneumonia can be the only clue.
🛟 First actions
For ineffective cough or respiratory compromise, activate the paediatric choking/resuscitation algorithm and summon senior anaesthetic/ENT or respiratory help. Encourage effective coughing if the child is breathing and coughing effectively.
🧪 Investigations and reassessment
After stabilisation, seek specialist assessment for possible bronchoscopy when suspicion persists. Chest radiography can aid assessment but many inhaled objects are radiolucent.
⚠️ Common pitfalls and escalation
Never perform blind finger sweeps or force an agitated child to undergo distressing procedures. A normal chest radiograph does not safely exclude aspiration.
UK reference: NHS choking guidance. Focused editorial source check, 7 November 2026; this is not independent clinical or pharmacy sign-off. Verify current local policy, BNF/BNFC and specialist advice before treatment. Not a prescribing protocol.
Related guides: Child in respiratory distress — FY quick guide 🚨 🫁 · Croup — FY quick guide ⚠️ 🫁
| The content on this website is provided for educational and informational purposes only to support exam preparation (e.g., MLA, MRCP, USMLE) and learning. This is NOT medical advice, diagnosis, treatment, or professional guidance. It does not replace consultation with a qualified healthcare professional, official guidelines (e.g., NICE, GMC, BNF), or supervised clinical practice. Always verify information with current, authoritative sources. Makindo and its contributors accept no liability for any reliance on this content, including errors, omissions, or any resulting harm, loss, or consequences. By using this site, you agree to these terms. |
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