Pediatric Button Battery Ingestion Most serious BB ingestions are not witnessed. Therefore, have a low threshold for considering BB ingestion in children with symptoms such as: Hematemesis, Airway obstruction, Drooling, Difficulty in breathing, Choking, Dysphagia, Refusal to eat Button batteries cause damage to tissues through: Discharge of an electrolytic current which hydrolyses tissue fluid and produces hydroxide which is a caustic (alkaline) Severity of tissue injury depends on: - Duration of mucosal contact - Location - Size of BB - Chemical composition of BB PeterboroughEM @PeterboroughEM #Button #Battery #Ingestion #toxicology #diagnosis #management #Pediatrics