Esophageal food impaction can be managed in the ED prior to calling GI for endoscopy
Coca-cola, glucagon, benzodiazepines, calcium channel blockers, and dissolved nitroglycerin are all options to try
For pediatric patients, weighted bougies can be used under sedation to attempt retrieval of the food bolus
Always evaluate airway status, especially if the patient cannot maintain secretions
References
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
Khayyat YM. Pharmacological management of esophageal food bolus impaction. Emerg Med Int. 2013;2013:924015. doi:10.1155/2013/924015
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
Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD
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