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Too many children have suffered life changing injuries or death by #ButtonBatteries. Prevention is critical.

When lodged in the body, #ButtonBatteries can cause significant tissue injury in as little as 2 hours. Serious injuries can occur if they are not removed quickly. bit.ly/36Cnz8m

When x-ray is done, review to confirm diagnosis of round metallic foreign bodies. Zoom in. #ButtonBatteries have a double-ring or halo sign. Coins have a homogenous appearance to the edge of the metallic object. Do NOT rely on lateral view alone.

Despite efforts, the rate of moderate, major or fatal outcomes from ingestion of #ButtonBatteries continues to increase.

Clinical management is emergent removal. Assess the location and direction of negative pole of battery. Consider both acute and delayed potential complications. #ButtonBatteries

Pre-removal strategy to slow rate of initial esophageal injury from #ButtonBatteries: honey at home or sucralfate in hospital.

Post-removal of #ButtonBatteries: slow esophageal injury progression using sterile 0.25% acetic acid irrigation in operating room.

Parents can learn more about #ButtonBatteries on @NationwideKids website. There are downloadable PDFs in #English, #Spanish, #Somali, #Arabic, and #Nepali. bit.ly/2GDe3ap

Be part of the solution. Educate parents and caregivers on prevention of injuries from #ButtonBatteries. Share materials from Nationwide Children's Hospital bit.ly/2GDe3ap

It is NOT just the 20mm lithium #ButtonBatteries that are dangerous, smaller non-lithium #ButtonBatteries can also cause life-threatening injuries and death.