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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
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
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
View all episodes
By Ross Orpet, Paramedic turned EMS Physician
4.9
4242 ratings
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
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
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
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