Kazarie Dwaah-Lyder
9 Feb 2024 · Coroner Mary Hassell · Inner North London
The coroner's concerns
1. swallowed foreign body
“In February 2022, [the deceased] was taken to hospital suspected of having swallowed a plastic foreign object. He then underwent an x-ray and a fluoroscopy, each with a negative result.”
2. non radio opaque foreign body ingestion
“It was suggested to me in evidence that children suspected of having swallowed a non radio opaque object such as a googly eye, whose symptoms (unlike [the deceased]'s) persist, should undergo an endoscopy even if they have had a negative x-ray and fluoroscopy.”
3. absence of national guidance
“I was told that there is a lack of national guidance for such a situation.”
Responses
2024-0072-Response-from-British-Association-of-Paediatric-Surgeons.pdf ↗· British Association of Paediatric Surgeons
2024-0072-Response-from-Royal-College-of-Paediatrics-and-Child-Health.pdf ↗· Royal College of Paediatrics and Child Health
Stated action
“The College will be sharing information and suggestions for local improvement from your report with our paediatric members via its patient safety portal.”
2024-0072-Response-from-The-Royal-College-of-Radiologists.pdf ↗· Royal College of Radiologists