title: Ultrasound-Assisted Removal of A Fishbone Stuck in A Tongue in the Emergency Department.
abstract: BACKGROUND
  Foreign body (FB) impaction in the oropharyngeal region-and specifically the tongue-is a common problem in the emergency department that often requires specialty consultation and admission for operative intervention. Over the years, the use of point of care ultrasound (POCUS) has increased ease and success of FB removal in other anatomic regions, but is only rarely reported for extraction of FB from the tongue outside of the operating room.
  
  
  METHODS
  This case demonstrates a unique case of ultrasound-guided removal of a fishbone from the tongue in the emergency department after blind attempts failed. Operative intervention and admission were initially avoided; however, because of initial failed attempts and blind dissection before the use of POCUS, the patient presented a day later requiring admission for postprocedural tongue swelling and edema. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should be aware that POCUS may assist in FB localization in the tongue.
authors.affiliation: Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
authors.forename: David
authors.initials: D
authors.lastname: Kanon
authors.affiliation: Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
authors.forename: Paige
authors.initials: P
authors.lastname: Skinner
authors.affiliation: Department of Ear, Nose and Throat, Long Island Jewish Medical Center, New Hyde Park, New York.
authors.forename: William A
authors.initials: WA
authors.lastname: Kennedy
authors.affiliation: Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
authors.forename: Angela R
authors.initials: AR
authors.lastname: Cirilli
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration; D005396:Fish Products / Q000009:adverse effects; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019095:Point-of-Care Systems; D014059:Tongue / Q000293:injuries*; D014463:Ultrasonography / Q000295:instrumentation / Q000379:methods*
keywords: emergency medicine; emergency ultrasound; foreign bodies; point of care ultrasound