A man with drug-induced psychosis attempts to swallow his cellular phone
A 35 year-old man with no significant past medical history presented to the emergency department (ED) after abusing phencyclidine (PCP). Responding to command auditory hallucinations, he attempted to swallow his 4 cm × 8 cm smartphone. On arrival, he was agitated but alert, handling his secretions poorly and in moderate respiratory distress. An electronic device was clearly protruding from his oropharynx. He was tachypneic (24 respirations/min) with an oxygen saturation of 92 % on room air, a heart rate of 131 beats per minute and a blood pressure of 137/64 mmHg.
Emergency physicians immediately attempted to remove the device with Magill forceps, but were unsuccessful. A “trauma code” was announced bringing a surgical intensivist, an anesthesiologist, and appropriate nursing staff to the bedside, while simultaneously indicating that an operating room (OR) should be prepared. The patient was emergently transported to the OR and “double prepped” for both emergent cricothyrotomy and oropha ...
- Gupta NM, Kaman L (2004) Personal management of 57 consecutive patients with esophageal perforation. Am J Surg 187(1):58–63 CrossRef
- Reeder LB, DeFilippi VJ, Ferguson MK (1995) Current results of therapy for esophageal perforation. Am J Surg 169(6):615–617 CrossRef
- Vallbohmer D, Holshcer AH, Holscher M, Bludau M, Glutschow C, Stippel D, Bollschweiler E, Schroder W (2010) Options in the management of esophageal perforation: analysis over a 12-year period. Dis Esophagus 23(3):185–190 CrossRef
- Smith D, Woolley S (2006) Hypopharyngeal perforation following minor trauma: a case report and literature review. Emerg Med J 23(1):e7 CrossRef
- A man with drug-induced psychosis attempts to swallow his cellular phone
Internal and Emergency Medicine
Volume 8, Issue 6 , pp 541-542
- Cover Date
- Print ISSN
- Online ISSN
- Springer Milan
- Additional Links