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   Should a foreign body be removed?

   • Once a foreign body is identified, the benefits of removal must be weighed against the risk of leaving it in place and iatrogenic injury from attempted removal in the ED. Not all foreign bodies require removal, and not all removal needs to take place in the ED. Composition of the foreign body is important.

   Soft Tissue Foreign Bodies: ED Presentation, Evaluation, and Management

   www.emdocs.net/soft-tissue-foreign-bodies-ed-presentation-evaluation-and-management/

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   How do you remove a foreign body?

   • Tweezers or Forceps: Small foreign bodies near the skin surface can often be grasped and gently lifted out using sterile tweezers or forceps. Magnification and Lighting: The use of magnifying tools, such as loupes or magnifying glasses, along with proper lighting, aids in visualizing and locating small or embedded foreign bodies.

   Wound Foreign Body Removal: Techniques and Considerations for Safe …

   www.dovemed.com/health-topics/focused-health-topics/wound-foreign-body-removal-techniques-and-considerations-safe-and-effective-extraction

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   How do you remove a foreign body from a wound?

   • Magnification and Lighting: The use of magnifying tools, such as loupes or magnifying glasses, along with proper lighting, aids in visualizing and locating small or embedded foreign bodies. Irrigation: Flushing the wound with sterile saline or an appropriate irrigation solution can dislodge superficial debris or foreign bodies.

   Wound Foreign Body Removal: Techniques and Considerations for Safe …

   www.dovemed.com/health-topics/focused-health-topics/wound-foreign-body-removal-techniques-and-considerations-safe-and-effective-extraction

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   Is endoscopy a safe treatment for foreign body removal?

   • Endoscopy is considered the first-line intervention for removal of foreign bodies. It is also considered the safest and most reliable method of diagnosis and treatment of foreign bodies in the GI tract. Other non-operative techniques for foreign body removal include the use of laryngoscopy, Foley catheters, and oesophageal bougienage.

   Foreign body ingestion - Symptoms, diagnosis and treatment | BMJ Best

   bestpractice.bmj.com/topics/en-gb/1050

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   What should be considered before foreign body removal?

   • Wound exploration and initial imaging with radiography or ultrasonography should be considered before foreign body removal. Risks and benefits of removal should be discussed with the patient. Although some foreign bodies may be left in place, removal should be considered if the risk of complications is high.

   Foreign Bodies in the Skin: Evaluation and Management - AAFP

   www.aafp.org/pubs/afp/issues/2020/0615/p740.html

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   What are non-operative techniques for foreign body removal?

   • Other non-operative techniques for foreign body removal include the use of laryngoscopy, Foley catheters, and oesophageal bougienage. Laparoscopic or open surgery is the last resort when other techniques have failed.

   Foreign body ingestion - Symptoms, diagnosis and treatment | BMJ Best

   bestpractice.bmj.com/topics/en-gb/1050

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2. www.ncbi.nlm.nih.gov › books › NBK554447Wound Foreign Body Removal - StatPearls - NCBI Bookshelf

   www.ncbi.nlm.nih.gov › books › NBK554447

   May 1, 2023 · Objectives: Identify the indications for foreign body removal. Describe the technique in regards of foreign body removal. Review appropriate evaluation of the potential complications of foreign body removal.

   • Author: Edward J. Skinner, Christopher A. Morrison
   • Affiliations: Healogics

   • Publish Year: 2018
   • Published: 2023/05/01

3. www.aafp.org › pubs › afpForeign Bodies in the Skin: Evaluation and Management - AAFP

   www.aafp.org › pubs › afp

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   Jun 15, 2020 · Indications for Foreign Body Removal. Before foreign bodies are removed, informed consent discussions should be undertaken with patients. Risks include additional tissue injury, incomplete...

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5. emedicine.medscape.com › article › 1508207-overviewWound Foreign Body Removal: Overview, Indications ... - Medscape

   emedicine.medscape.com › article › 1508207-overview

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   • Introduction
   • History
   • Physical Examination
   • Delayed Presentation

   Patients with skin and soft tissue wounds commonly present to the emergency department (ED) for evaluation and treatment. Essential in the evaluation of these wounds is a careful assessment for retained foreign bodies (FB), as they are frequently missed on initial evaluation.[1, 2] Identification of a foreign body can be difficult, depending on the...

   See full list on emedicine.medscape.com

   Assessment of a patient with a suspected foreign body begins with a careful history and physical examination. Patients who present with a wound or localized pain following trauma should be questioned regarding the specific timing and nature of the injury, the level of wound contamination, and any materials involved in the injury (eg, wood splinters...

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   As with any clinical scenario in emergency medicine, complete evaluation of airway, breathing, and circulation (ABCs) is most important. Prior to wound examination, maximize lighting and patient positioning. Physical examination of the affected area should adequately assess for nerve, tendon, vessel, and joint involvement. Perform a vascular assess...

   See full list on emedicine.medscape.com

   Foreign bodies are frequently missed during the initial evaluation, and not all patients present immediately following an injury. In one retrospective study, nearly 38% of patients had foreign bodies that were missed on initial wound inspection. Another study found that only 75% of soft tissue foreign bodies were presented within 48 hours, while pa...

   See full list on emedicine.medscape.com

6. www.emdocs.net › soft-tissue-foreign-bodies-edSoft Tissue Foreign Bodies: ED Presentation, Evaluation, and ...

   www.emdocs.net › soft-tissue-foreign-bodies-ed

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   Maintaining a high suspicion for foreign body as part of the initial evaluation can prevent complications and re-presentations. Composition of foreign bodies can be broken down into three groups: metallic foreign bodies, organic foreign bodies such as wood, and inorganic foreign bodies such as plastic or glass [3].

7. Videos

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     Dr. Gawayne Removes a Foreign Body from a Patient's Hand | Auburn Medical Group

     12 Sep 2017

     2.8M views

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     Live Surgery: Foreign Body (BB) Removal from Finger

     5 Jul 2015

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     Foreign Body Removal Surgery

     5 Nov 2019

     87.5K views

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8. www.steris.com › healthcare › knowledge-centerComplete Guide to Foreign Body Management - STERIS

   www.steris.com › healthcare › knowledge-center

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   Apr 19, 2021 · Foreign body management is a non-invasive procedural intervention of ingested objects that become lodged inside of the body. They can be accidentally ingested or intentionally ingested or inserted. The geriatric and pediatric populations are more common to accidental ingestions.

9. www.dovemed.com › health-topics › focused-healthWound Foreign Body Removal: Techniques and ... - DoveMed

   www.dovemed.com › health-topics › focused-health

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   Jul 22, 2023 · Prompt and appropriate removal of foreign bodies is essential for optimal wound healing. This comprehensive article aims to provide an overview of wound foreign body removal, including techniques, considerations, and precautions to ensure safe and effective extraction.

10. bestpractice.bmj.com › topics › en-gbForeign body ingestion - Symptoms, diagnosis and treatment ...

    bestpractice.bmj.com › topics › en-gb

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    Feb 14, 2023 · Endoscopy is considered the first-line intervention for removal of foreign bodies. It is also considered the safest and most reliable method of diagnosis and treatment of foreign bodies in the GI tract.