Introduction

Foreign body ingestion is a common pediatric emergency, and coins are among the objects most frequently swallowed by children [1]. The approach to esophageal foreign bodies varies according to the site of impaction. Endoscopic removal is generally recommended for objects lodged distal to the upper esophagus, whereas foreign bodies impacted in the upper esophagus, particularly near the pharyngoesophageal junction or cricopharyngeus, are often removed under direct laryngoscopic visualization with Magill forceps [2]. More recently, a previous report has described removal of upper esophageal foreign bodies using video laryngoscopy [3]. Compared with conventional direct laryngoscopy, video laryngoscopy displays the hypopharynx and esophageal inlet on a monitor, allowing the operator and the supervising physician to share the same view in real time. In emergency settings, procedures with limited opportunities for clinical experience, such as direct removal of esophageal foreign bodies, may benefit from structured team preparation. Previous reports have shown that pre-procedural briefing, in which goals, roles, and risks are explicitly discussed and shared, and post-procedural debriefing, in which the team reviews performance and identifies areas for improvement, can enhance team performance and patient safety [4]. These frameworks are also important for preserving psychological safety and improving learning efficiency [5]. We report a case in which an operator with no prior experience in video laryngoscope-assisted foreign body removal successfully removed an upper esophageal coin on the first attempt. This was facilitated by a structured pre-procedural briefing and real-time supervision through shared video-laryngoscopic visualization.