SDS

ArticleInformationSheet(AIS)
Ingestion/SmallPartsWarning
NormalConditionsofUse
NotetoPhysician NotetoPhysician–Forinformationonbatteryidentificationandtreatment,callthe24
hourNATIONALBATTERYINGESTIONHOTLINE(800‐408‐8666).Additionaltreatment
informationisavailablefromtheNATIONALCAPITALPOISONCONTROLCENTER
BUTTONBATTERYINGESTIONTRIAGEANDTREATMENTGUIDELINE:
https://www.poison.org/battery/guideline.Ifthepatientislessthanorequalto12
years,immediatelyobtainanx‐raytolocatethebattery.Ifthepatientis>12yearsand
thebatterydiameteris>than12mmorunknownalsoobtainanx‐ray.X‐raysshould
includetheentireneck,esophagusandabdomen.Oncethepositionofthebatteryin
theesophagusisdeterminedbyx‐rayandiflessthan12hourspostingestionconsider
givingsucralfatesuspension10mlbymouthevery10minutes,upto3doseswhile
waitingforsedationforendoscopy.Donotdelaybatteryremovalbecauseapatienthas
eatenrecentlyorwasgivenhoneyorsucralfatebymouth.Batterieslodgedinthe
esophagusshouldberemovedimmediatelysincebatteryleakage,causticburnsand
perforationcanoccurassoonastwohoursafteringestion.Endoscopicremovalis
preferredasitallowsdirectvisualizationoftissueinjury.Afterthebatteryisremoved
fromtheesophagusifnoperforationisevidentirrigatetheinjuredareawith50mLto
150mLof0.25%sterileaceticacidandthenobservefordelayedcomplications.Ifa
largebattery(equaltoorgreaterthan20mm)isinthestomachorbeyondofachild<5
years,andbasedonhistory,mighthavelodgedintheesophagusfor>2hours,consider
diagnosticendoscopytoexcludetheremotepossibilityofesophagealinjury.Retrieve
batteries,endoscopicallyifpossible,fromthestomachorbeyondif:1)Amagnetwas
alsoingested,2)Thepatientdevelopssignsorsymptomsthatarelikelyrelatedtoa
batteryingestion,or,3)Alargebatteryequaltoorgreaterthan15mmisingestedbya
childyoungerthan6years,remainsinthestomachfor4daysorlonger.Allowbatteries
topassspontaneouslyiftheyhavepassedbeyondtheesophagus(stomachandbeyond)
andnoclinicalindicationofanysignificantgastrointestinalinjuryisevident.Confirm
batterypassagebyinspectingstools.Considerrepeatradiographstoconfirmpassageif
batterypassagenotobservedin10‐14days.
FirstAid–IfbatteryswallowedDONOTGIVEIPECAC.Donotinducevomiting.Seek
medicalattentionimmediatelyandcall24hourNATIONALBATTERYINGESTION
HOTLINE(800‐498‐8666)forassistancewithbatteryidentificationandtreatment.
Attempttodeterminebatteryimprintcode(ordiameter)ofcompanionorreplacement
battery.Ifnoimprintcodeisavailable,measureorestimatethebatterydiameterbased
onthesizeoftheslotthebatteryfitsorthesizeofthecomparablebattery.Providethis
informationtothetreatinghealthcareprovider.Ifthechildisgreaterthan12months
ofageandabletoswallow,andthebatterywasswallowedwithintheprior12hours,if
readilyavailableadministerhoneyimmediatelyandwhileonroutetotheemergency
room.Give10mL(2teaspoons)ofhoneybymouthevery10minutesforupto6doses.
DonotdelaygoingtotheERtoobtainorgivehoney. Otherthanthehoneydonotgive
anythingbymouth.
5.Health&Safety
FirstAid‐Ifswallowed
SmallCellorBattery
(ANSIC18.1MPart2;IEC60086‐5)
Lithiumcoinbatteriesfitinsideaspeciallydesignedtestcylinder2.25inches(57.1mm)
longby1.25inches(31.70mm)wide.
Requiredforallsizesoflithiumcoinbatteries
:Keepawayfromchildren.Ifswallowed,
consultaphysicianimmediately.
Exposuretocontentsinsidethesealedbatterywillnotoccurunlessthebatteryleaks,is
exposedtohightemperatures,orismechanicallyabused.
AIS‐LiCoin 2of7