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West Virginia did theirs a little bit differently

In some cases, the clinical presentation worsened, resulting in acute airway obstruction requiring treatment with empiric antibiotics, racemic epinephrine, intravenous (IV) corticosteroids, and antihistamines with close airway observation

Consequently, regardless of the certainty of ingestion, the patients were required to be hospitalized in order to perform the necessary diagnostic procedures to determine the presence of the metal blade and its possible removal

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