طفل عمره سنتين وصل بعد أن رأته أمه يبلع بطارية صغيرة دائرية من ريموت قبل ساعة. هو الآن يبكي ويسيل لعابه ويرفض الشرب. التنفس طبيعي والتشبع ٩٨٪. ما التصرف الأنسب؟

A 2-year-old arrives after his mother saw him swallow a small round button battery from a remote an hour ago. He is crying, drooling and refusing drinks. Breathing is normal, SpO2 98%. What is the most appropriate action?

1. Give milk and push it to the stomach with bread
2. Induce vomiting at once by putting a finger in his throat
3. Urgent X-ray and rapid endoscopic removal if in the oesophagus
4. Wait for it to pass in the stool within a week

Answer: C) Urgent X-ray and rapid endoscopic removal if in the oesophagus. A button battery in the oesophagus can cause burns and perforation within two hours. Urgent X-ray and removal are needed; vomiting is not induced. Some protocols give honey before arrival to children over one year.