Localize FB on XR or Fluoro, if available
Give sedation as needed (ketamine is ideal in kids)
Place patient in Trendelenberg, supine, lat decub, or prone
Check balloon for symmetric inflation
For a child, advance a 12-16F<unk>  orally with balloon deflated
Advance tip distal to object (if fluoro is used, inject with contrast to view tip)
Inflate balloon with 3-5 cc saline
Stop inflation if patient complains of pain
Apply gentle traction to bring coin proximally
Terminate attempt if there is excessive friction
If the balloon slips past the object, try again with an additional 1-2cc saline in balloon
Once coin is in mouth grab with forceps or ask patient to expectorate it
If no FB is removed, obtain another XR to see if the object passed to the stomach or moved.
Esophageal foreign body removal with foley catheter
Nasogastric tube placement
Balloon tamponade for massive GI bleeding
Suprapubic catheter changing or replacement
GI antibiotics
Surgical cricothyrotomy
Oral contrast for abdominal and pelvic CT
Perianal block