Ep 234 Disasters & Solutions (Chapter 3): Vascular Occlusion of the Tongue | Julie Bass Kaplan

Episode 234 hosts Julie Bass Kaplan (Nurse Practitioner based in California, USA)  This is the 3rd chapter in our mini-series called 'Disasters & Solutions'. Here we look at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We speak to the injectors who managed the case and go through what happened, step by step. We'll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.     In Chapter 3 we discuss a case concerning a patient who was treated with chin filler. They immediately developed a significant and rare vascular occlusion that affected one side of their tongue. We hear about what was done to salvage the situation and drill down into some fundamental learning points for all injectors.  00:00 Introduction 01:01 Disasters Series Returns   02:48 Case Background Chin Filler   06:04 Consent and Risk Talk   09:04 Technique and Ultrasound Error   18:47 Training Lessons on Ultrasound   20:45 Harlequin Tongue Recognition   23:06 Emergency Protocol and Drills   27:19 Patient Support and Timeline   32:07 Hyaluronidase Dosing and Stock   39:44 Adjuncts Hyperbaric and EO2   43:51 Next Steps Patient and Injector   44:49 Turning Complication Into Paper   46:38 Injector Growth And Confidence   48:20 Patient Care And Communication   58:01 Undiagnosed Occlusions Debate   62:29 Median Canal Anatomy Explained   66:22 Fishing For Red Technique   72:10 VO Mechanisms And Risk Factors   73:38 Emergency Kit And Training   76:37 Refunds Apologies And Support   80:05 Medicolegal Protocols And Notes   85:16 Wrap Up And Where To Learn ALL IA LINKS & CONTACT INFORMATION