{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T21:41:32Z","timestamp":1763415692184,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2024,1]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>To evaluate management of children and young people presenting to the Emergency Department (ED) with magnet ingestion before and after new guidance.<\/jats:p><\/jats:sec>Methods<\/jats:title>In May 2021, a National Patient Safety Agency and Royal College of Emergency Medicine (RCEM) Best Practice Guideline about management of ingested magnets was published. This was implemented in our department. Children and young people presenting after magnet ingestion were identified from SNOMED (coded routinely collected data) and X\u2010ray requests between January 2016 and March 2022. Management was compared to national guidance.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 138 patient episodes of magnet ingestion, with a rising incidence over the 5\u2010year period. Following introduction of the guideline, there was a higher incidence of admission (36% vs. 20%) and operative intervention (15.7% vs. 8%). Use of follow\u2010up X\u2010ray increased from 56% to 90%. There was substantial variation in the management prior to guidance which reduced after introduction of the RCEM guidance.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Management of magnet ingestion has become more standardised since introduction of the National RCEM Best Practice Guideline, but there is still room for improvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16956","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T08:40:24Z","timestamp":1693298424000},"page":"127-134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Managing magnets: An audit of introduction of the Royal College of Emergency Medicine Best Practice Guideline"],"prefix":"10.1111","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7163-798X","authenticated-orcid":false,"given":"S.","family":"McLeish","sequence":"first","affiliation":[{"name":"Emergency Department Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Harwood","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Decker","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Almond","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. J.","family":"Hall","sequence":"additional","affiliation":[{"name":"University Surgery Unit, Faculty of Medicine University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Durand","sequence":"additional","affiliation":[{"name":"Emergency Department Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.19.1.71"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.727988"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/908730"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.06.022"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrac056"},{"issue":"10","key":"e_1_2_10_7_1","article-title":"Multiple magnet ingestion leading to bowel perforation: a relatively sinister foreign body","volume":"11","author":"Arshad M","year":"2019","journal-title":"Cureus"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-321848"},{"key":"e_1_2_10_9_1","unstructured":"BBC.Boy 9 needed major surgery after TikTok magnet trend BBC News.2021. Accessed May 23 2021.https:\/\/www.bbc.co.uk\/news\/uk\u2010scotland\u2010tayside\u2010central\u201058565720"},{"key":"e_1_2_10_10_1","unstructured":"MeekN.Magnet TikTok trend: what is it and why is it dangerous?The Press. June2021Magnet TikTok trend: what is it and why is it dangerous? York Press."},{"key":"e_1_2_10_11_1","unstructured":"Deadly magnet \u201ctongue piercings\u201d should be banned says NHS The Guardian.2021. Accessed May 23 2021.https:\/\/www.theguardian.com\/society\/2021\/may\/29\/deadly\u2010magnet\u2010tongue\u2010piercings\u2010should\u2010be\u2010banned\u2010says\u2010nhs"},{"key":"e_1_2_10_12_1","unstructured":"Hidden danger in your home: button batteries and powerful magnets Office for Product Safety and Standards April2022."},{"key":"e_1_2_10_13_1","unstructured":"The Magnetic Toys (Safety) Regulations Legislation.gov.uk 2008; No. 1654.https:\/\/www.legislation.gov.uk\/uksi\/2008\/1654\/contents\/made"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-322106"},{"key":"e_1_2_10_15_1","unstructured":"National Patient Safety Alert.Urgent assessment\/treatment following ingestion of \u2018super strong\u2019 magnets NatPSA\/2021\/002\/NHSPS 2021. Accessed May 23 2021.https:\/\/www.england.nhs.uk\/publication\/national\u2010patient\u2010safety\u2010alert\u2010urgent\u2010assessment\u2010treatment\u2010following\u2010ingestion\u2010of\u2010super\u2010strong\u2010magnets\/"},{"key":"e_1_2_10_16_1","unstructured":"StibbardsS KennyS EmsdenS et al.Royal College of Emergency Medicine Best Practice Guidelines: Ingestion of Super Strong Magnets in Children.2021. Accessed May 23 2021.https:\/\/www.rcem.ac.uk\/docs\/RCEM_BPC_Ingestion_of_Super_Strong_Magnets_in_Children_170521.pdf"},{"key":"e_1_2_10_17_1","unstructured":"\u201cMAGNETIC\u201d Magnet Ingestion in Children: A Prospective Surveillance Study ID Number: CHI1116. Accessed May 23 2021.http:\/\/clinicaltrials.gov\/show\/NCT05375981(Identifier: NCT05375981)."}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.16956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T06:41:48Z","timestamp":1712299308000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.16956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,29]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/apa.16956"],"URL":"https:\/\/doi.org\/10.1111\/apa.16956","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"type":"print","value":"0803-5253"},{"type":"electronic","value":"1651-2227"}],"subject":[],"published":{"date-parts":[[2023,8,29]]},"assertion":[{"value":"2023-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}