Are They Choking? Esophageal Foreign Body

We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as 'Steakhouse Syndrome,' and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there's any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases.

 

• Resources and links
  • This episode was inspired by an article on EMSAirway.com- Friday Night Lights- Shift 9 Steak Night
  •  EMScast15 - code for 15% off an awesome pair of sunglasses 
  • Help Us By Filling Out Our Audience Survey
  •  Medic Box - awesome medical gear shipped directly to your door 
  • Articles-

    • American Society for Gastrointestinal Endoscopy- Guidelines for ingested foreign bodies

    •  

      Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis.

    •  

      Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial

    •  

      Conservative management of oesophageal soft food bolus impaction

    •  

      Esophageal Food Impaction: A Retrospective Chart Review

    • Food Bolus Impaction- Question and Answer Review

 

 

Guest/Cast/Crew information-

Host- Ross Orpet, Will Berry 

 

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

 

00:00 Introduction to Esophageal Foreign Bodies

00:43 Audience Survey and Sunglasses Giveaway

01:46 Interview with Contest Winner

06:11 A Choking Incident at Mile High Stadium

09:02 Discussion on Esophageal Obstructions

11:46 Life-Saving Story at Denver International Airport

13:28 A Life-Saving Outcome

14:11 The Choking Incident at the Tavern

14:57 Assessing the Patient's Condition

19:38 Understanding Esophageal Food Impaction

21:49 Treatment Options and Challenges

29:01 The Role of Endoscopy

37:45 Managing Esophageal Impactions in the Field

39:32 Final Thoughts