First Aid & Health

Disclaimer: This information is not intended as a substitute for professional medical advice, emergency treatment or formal first-aid training. Don’t use this information to diagnose or develop a treatment plan for a health problem or disease without consulting a qualified health care provider. If you’re in a life-threatening or emergency medical situation, seek medical assistance immediately.

Coke Bottle named Asthma

Metered-dose inhalers with a spacer can perform at least as well as nebulisation in delivering beta-agonists in children with acute asthma. Salbutamol has systemic side effects – tremor and increased pulse rate were more common when using nebulisers.

 

Coin ingestions

  • More than 100,000 foreign body ingestions are reported in children each year; coins are #1 cause
  • Although not always 100% true, coins typically appear circular on an AP Xray of the neck when in the esophagus and linear when in the trachea
  • Coins usually pass without issue, but warning signs are drooling, dysphagia, hoarse voice, wheezing, or stridor
  • 10-20% require endoscopy for removal and 1% require surgery
  • Objects lodged in the middle esophagus should raise concern for underlying pathology such as strictures, masses, or webs

Emergency Medicine Kenya Foundation

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