Podcast 747: Food Impaction

<p><strong>Contributor: Ricky Dhaliwal, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Esophageal food impaction can be managed in the ED prior to calling GI for endoscopy</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Coca-cola, glucagon, benzodiazepines, calcium channel blockers, and dissolved nitroglycerin are all options to try</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">For pediatric patients, weighted bougies can be used under sedation to attempt retrieval of the food bolus</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;"> Always evaluate airway status, especially if the patient cannot maintain secretions</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Long B, Koyfman A, Gottlieb M. Esophageal Foreign Bodies and Obstruction in the Emergency Department Setting: An Evidence-Based Review. J Emerg Med. 2019;56(5):499-511. doi:10.1016/j.jemermed.2019.01.025</span></p> <p><span style="font-weight: 400;">Khayyat YM. Pharmacological management of esophageal food bolus impaction. Emerg Med Int. 2013;2013:924015. doi:10.1155/2013/924015</span></p> <p><span style="font-weight: 400;">Schimmel J, Slauson S. Swallowed Nitroglycerin to Treat Esophageal Food Impaction. Ann Emerg Med. 2019;74(3):462-463. doi:10.1016/j.annemergmed.2019.04.003</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span sty