Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

被引:3
作者
James, Vigil [1 ]
Hamzah, Hazwani Binte [2 ]
Ganapathy, Sashikumar [1 ]
机构
[1] KK Womens & Childrens Hosp, Childrens Emergency, Singapore, Singapore
[2] KK Womens & Childrens Hosp, Dept Radiol, Singapore, Singapore
来源
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS | 2018年 / 139期
关键词
Medicine; Issue; 139; Metallic foreign bodies; children; coins; metal detector; chest radiograph; foreign body ingestion; BODIES; LOCALIZATION; IDENTIFICATION; UTILITY; COINS;
D O I
10.3791/58468
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Coins are the most common ingested metallic foreign bodies among children. The goal of this protocol is to assess the accuracy and feasibility of using a handheld metal detector to detect ingested metallic foreign bodies in children. We propose that by introducing handheld metal detector screening early in the triage process of children with high suspicion of metallic foreign body ingestion, the number of radiographs being ordered to localize the metallic foreign body can be reduced in this radio-sensitive population. The study protocol requires the screening of the participants for history of foreign body ingestion and exclusion of patients with respiratory distress or metallic implants. The patient changes to hospital gown and items that could contain metal like eyeglasses, earrings, pendants, and ornaments are removed. The patient is positioned in the center of the room away from other metallic interferences. The working status of the handheld metal detector is first confirmed by eliciting a positive audio-visual signal. Then the screening is done in an erect position with head in extension to expose the neck, from the level of the chin to the level of the hip joint, to cover the anatomical areas from neck to pelvis in a zig-zag manner both anteriorly and posteriorly. A positive audio-visual signal is carefully noted during the scanning for the presence of metallic foreign body. Relevant radiographs are ordered as per the area detected on the metal detector screening. The handheld metal detector was able to precisely identify all the coins among the ingested metallic foreign bodies in our study. The handheld metal detector could not consistently detect non-coin metallic foreign bodies. This protocol demonstrates the accuracy of handheld metal detector in the identification and localization of coins and coin like metallic foreign bodies.
引用
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页数:7
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