Figure 1. Equipment needed for the assembly of the alternative to the Hurst dilator and the bougienage.
1. Foley catheter
2. Endotracheal tube
3. 10cc syringe with water
4. Tape
5. Tongue depressors (approximately 5–6) taped together to act as a bite block
Hurst dilators are reusable, flexible silicone-based devices that are more commonly used for dilatation of benign esophageal sphincters but are also used off-label for bougienage. Most pediatric centers will have access to these through their operating or endoscopy suites. For emergency physicians who do not have easy access to one of these, we offer a potential alternative made of products commonly found in every emergency department across the country.
Assembling an Alternative to the Hurst Dilator
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