Episode 925: Table Sugar for Tongue Entrapment

Episode 925: Table Sugar for Tongue Entrapment

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Pediatric case study where the child's tongue was stuck in the opening of a hard plastic drink lid

  • Entrapment restricts circulation which causes fluid to build and the tongue becomes more edematous with time

    • There is a risk of ischemia with prolonged entrapment

  • Initially tried 2% viscous lidocaine for analgesia and lubricant

  • The ER recognized that this mucosal, edematous tongue could benefit from the trick for ostomies and rectal prolapses → table sugar!

    • Sugar granules absorb water which decreases tissue edema

  • This option avoids sedation and aggressive treatment

References

  1. A Young Girl with Tongue Swelling
    Jarjour, Jane et al. Annals of Emergency Medicine, Volume 84, Issue 3, 317 - 318

Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3

Donate: https://emergencymedicalminute.org/donate/

Episoder(1155)

Podcast 1003: Nasal Intubation

Podcast 1003: Nasal Intubation

Contributor: Alec Coston, MD Educational Pearls: What are nasal intubations and when do we use them? Nasal intubations function similarly to oral intubations with the end goal of passing an endotrac...

27 Apr 9min

Podcast 1002: Elder Agitation

Podcast 1002: Elder Agitation

Contributor: Aaron Lessen, MD Educational Pearls: What are the common causes of agitation in the elderly? Baseline dementia causing a behavioral disturbance Delirium precipitated by an acute medical ...

20 Apr 3min

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Contributor: Aaron Lessen, MD Educational Pearls: Patients with pulmonary embolism (PE) are divided into three risk categories Low risk (non-massive PE): patients are stable Treatment: prescribe an...

13 Apr 3min

Celebrating 1000 Medical Minutes

Celebrating 1000 Medical Minutes

Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all o...

3 Apr 1h 29min

Podcast 1000: Cool Water

Podcast 1000: Cool Water

Contributor: Aaron Lessen, MD Educational Pearls: Burns range in complexity from minor first-degree burns to more severe full-thickness burns. Initial basic burn management: Run the burn under cool ...

30 Mar 2min

Podcast 999: Right vs Left Internal Jugular Access

Podcast 999: Right vs Left Internal Jugular Access

Contributor: Travis Barlock, MD Educational Pearls: What is an internal jugular catheter (IJ) and when do we use it? IJs are catheters that can be placed in either the left or the right internal jugu...

23 Mar 2min

Podcast 998: Delayed Intubation After an Overdose

Podcast 998: Delayed Intubation After an Overdose

Contributor: Aaron Lessen, MD Educational Pearls: How long do we need to watch patients with a presumed overdose who were treated with naloxone in the field? A 2025 study in the Annals of Emergency M...

16 Mar 3min

Podcast 997: D-Dimer

Podcast 997: D-Dimer

Contributor: Travis Barlock, MD Educational Pearls: D-dimer: fibrin degradation product used to evaluate for clot formation and breakdown Threshold: Elevated D-dimer indicates recent or ongoing int...

9 Mar 2min

Populært innen Vitenskap

fastlegen
tingenes-tilstand
jss
forskningno
liberal-halvtime
rekommandert
sinnsyn
rss-paradigmepodden
villmarksliv
rss-nysgjerrige-norge
fjellsportpodden
tidlose-historier
diagnose
kvinnehelsepodden
rss-inn-til-kjernen-med-sunniva-rose
nevropodden
nordnorsk-historie
tomprat-med-gunnar-tjomlid
rss-overskuddsliv
rss-hoyt-lavt-med-ida-tonseth