• Episode 925: Table Sugar for Tongue Entrapment

  • Oct 14 2024
  • Length: 2 mins
  • Podcast

Episode 925: Table Sugar for Tongue Entrapment

  • Summary

  • 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/

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