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Home > Emergency Medical Minute > Episode 925: Table Sugar for Tongue Entrapment
Podcast: Emergency Medical Minute
Episode:

Episode 925: Table Sugar for Tongue Entrapment
Category: Science & Medicine
Duration: 00:01:52
Publish Date: 2024-10-14 10:00:00
Description:

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

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