After a successful bougienage with passage of the coin into the stomach, the patient can be discharged home. The patient’s parents need to be extensively educated on the need to return to the emergency department with any concerning symptoms. Despite the lack of known serious complications following bougienage, the parents should be monitoring for abdominal pain, nausea, vomiting, chest pain, constipation, obstipation, fever, chills, or any other concerning signs of obstruction or perforation. The parents also have the privilege of checking all of the patient’s bowel movements for passage of the coin; if by two weeks they have not noticed passage of the coin, a repeat radiograph may be warranted.
Explore This IssueACEP Now: Vol 34 – No 05 – May 2015
Dr. McGovern is an emergency medicine resident at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
Dr. McNamee is chief resident of the emergency medicine residency at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
Dr. Sanicola-Johnson is director of physician wellness and an emergency medicine attending physician/EMS physician at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
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