109 Ear and Nasal Foreign Bodies

In this EM Basic episode, Dr. Koo discusses the evaluation and management of ear and nasal foreign bodies, primarily focusing on pediatric cases. The episode covers basic anatomy of the ear and nose, signs and symptoms of foreign body lodgment, and various treatment options for removal, emphasizing the importance of direct visualization, patient cooperation, and appropriate tools. Dr. Koo highlights dangerous objects requiring immediate removal, such as button batteries and magnets, and provides practical tips and techniques, including the "big kiss" method, use of balloon extractors, and irrigation, while also sharing a personal cautionary tale. The podcast stresses the need for a thorough examination to identify potential complications and the importance of having backup plans for extraction, concluding with guidance on when to consult ENT specialists.