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National Poison Prevention Week: Danger of Disc Batteries

disc_batteriesBy: Ann Slattery, DrPH, RN, RPh, CSPI, DABAT, Managing Director, Regional Poison Control Center at Children’s of Alabama

There are many objects throughout a household that children can swallow, but one particular object that has warranted many calls to the Regional Poison Control Center at Children’s of Alabama (RPCC) are disc batteries, which can easily be mistaken for a quarter or other coins. The RPCC at Children’s of Alabama has received 60 exposure calls related to disc batteries in the last three years with no fatalities.

Disc batteries are round flat batteries that range in size from a pencil eraser to a quarter (5 mm – 20 mm) that are used in watches, calculators and hearing aids. The majority of exposures to disc batteries occur in curious children.

From 1985-2009, 56,535 disc battery ingestions were reported to the National Poison Data System. Fortunately, deaths after swallowing a disc battery are rare, less than 0.02 percent. However, these ingestions are serious, so it is important to be aware of the symptoms of possible poisoning. These symptoms include cough, wheezing, irritability, poor appetite, vomiting, lethargy, fever and dehydration.

More often than not, the caregiver did not see the ingestion of the disc battery, but if a disc battery is swallowed, an X-ray is needed to find its location in the body. Only then can appropriate recommendations be made.

  • If the battery has moved beyond the esophagus, most will pass uneventfully through the rest of the digestive system and pass within a matter of few days.
  • If the battery is lodged in the esophagus, it is considered an emergency and requires immediate removal.
  • A disc battery becoming lodged beyond the esophagus is unlikely, but if it happens, burns may occur resulting in tissue damage and internal bleeding, causing in a medical emergency.

The majority of disc battery ingestions occur immediately after the battery is removed from the object, but discarded or loose batteries also account for a fair amount of ingestions. It is very important to keep disc batteries out of reach and out of sight!

National Poison Prevention Week is March 16 – 22, 2014. The themes are “Children Act Fast…So Do poisons!” and “Poisoning Spans a Lifetime.” While pediatric (less than 6 years of age) exposures account for 52 percent of The Regional Poison Control Centers (RPCC) at Children’s of Alabama human exposures; adults also experience poisoning with adult exposures accounting for 32 percent of the call volume.  The RPCC received 37,842 calls in 2013 including more than 24, 000 human exposures with more than 44,000 follow up calls. In 2014 the RPCC expects to receive 58,000 calls with 38,000 human exposures. The RPCC is available 24/7 at 1-800-222-1222.

Too Much Screen Time?

By: Rachel Olis

Children growing up today spend more time with technology than any previous generation. Unfortunately, this also means that they spend more time sitting in front of a screen. But at what point have the kids had too much? From tablets and cell phones to TV’s and laptops, children have a lot of opportunity for screen time. Although there are educational programs and apps, the negative effects of having too much media exposure seem to outweigh the positive.

“On average kids spend about seven hours a day on media, but we’d really prefer to see kids playing,” said Dr. Dan Marullo, pediatric neuropsychologist at Children’s of Alabama.

The American Academy of Pediatrics (AAP) recommends that children under the age of 2 not watch any television and that older kids have no more than two hours of screen time per day.

“If you are starting to see your child not spending as much time interacting with other families or friends, not playing, not engaging in favorite activities, research shows that there can be a link between too much media exposure and obesity and hypertension,” he said.

Problems paying attention and concentrating, depression or anxiety, and even aggression can also be signs that your child has had too much media exposure.

Here are a few ways to limit children’s screen time:

  • Limit the number of screen time hours.
  • When a program is over, turn the television off instead of surfing the channels.
  • Set up a “media free zone” that includes bedrooms and the kitchen during dinner.
  • Make a screen time schedule that all members of the family abide by.
  • Make watching television a family affair.
  • Set a good example. Put down your cell phone and exchange watching television for something active.

Fortunately, there are many alternatives to the screen. Here are some examples:

  • Send your kids outside to play, or go play with them!
  • Involve them in a sport such as baseball, ballet, lacrosse or swimming.
  • Have a family game night – play board games and cards.
  • Sit down and read together.

The amount of fun activities you and your kids can do without the TV and tablets are endless. For more information on how to have healthy screen time habits, visit http://www.childrensal.org.