109 Ear and Nasal Foreign Bodies

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 27 March 2023

⏱️ 19 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join Dr. Alex Koo as he discusses ear and nasal foreign bodies. He'll give you a brief run-down of anatomy, history, and physical, before diving into comprehensive, key concepts of foreign body removal. There will be some great tips and tricks shared!

-Where do foreign bodies commonly get stuck in the ear and nose?

-What important historical and physical examination features should you focus on for these foreign bodies? What are considered dangerous objects that need immediate removal?

-What equipment and techniques can you use for helping visualize the foreign bodies?

-What techniques can you use for achieving a more cooperative patient?

-What equipment and techniques are available to extract these foreign bodies?

-What complications can happen from removal?

-Who should be referred for immediate or urgent consultation with an ENT specialist?

Transcript

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0:00.0	Hey everyone. Dr. Koo here, and I'm back again for another episode for EM Basic.
0:05.8	Today, we'll be talking about ear and nasal foreign bodies. We'll go over some basic anatomy,
0:10.9	signs and symptoms, and then some treatments. I'll give you some tips and tricks that you can try on
0:15.4	your next shift for all those interesting things that kids, and sometimes adults, shove into their ear and nose holes.
0:21.6	We won't be talking about pharyngeal, esophageal, laryngeal, laryngeal, bronchial, or rectal
0:25.6	foreign bodies today. Maybe a later date, if people are interested.
0:29.6	We also won't cover severe injuries associated with foreign bodies in the ear and nasal regions that require emergent surgical removal.
0:36.6	Note the Department of Defense Disclaimer this time.
0:39.3	It's been bittersweet as I've transitioned out of active duty.
0:42.3	However, I'm excited to join on as an attending at MedStar's Washington Hospital
0:46.3	and St. Mary's Hospital, as well as an assistant professor at Georgetown School of Medicine.
0:51.3	All I can say is that these views are my own and purely for educational value.
0:56.0	So let's get started with a case. Little Johnny is a two-year-old boy who comes through a community emergency department with dad.
1:03.0	Dad said that he was cooking dinner while Johnny and his older brother, Billy, were playing together when he heard Lil Johnny scream,
1:09.0	Lego my Lego. Dad turns around to find his two kids sitting on the ground,
1:12.6	stirring back at him.
1:14.6	But this Lego is nowhere to be found.
1:16.6	Johnny is tugging a lot at his left ear,
1:18.6	and Dad thinks the Lego may have made it in there.
1:21.6	Johnny's triage vital signs are normal,
1:23.6	and he's running around the room screaming,
1:25.6	or singing, but it's hard to tell. He
	...

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