A 3-year-old boy is brought to A&E by worried parents who witnessed a choking episode 2 hours ago followed by noisy breathing. Apart from an audible wheeze and cough, physical examination and observations are unremarkable. An anteroposterior chest radiograph shows a small circular radio-opaque foreign body with a halo.
Which of the following is the best next step in the management of this patient?
- A) Urgent removal under general anaesthetic (rigid bronchoscopy)
- B) Urgent removal under general anaesthetic (Magill forceps)
- C) Urgent removal under general anaesthetics (oesophagoscopy)
- D) Diazepam
- E) Back blow
ASCENT 