A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....
A 41 yo male is brought in by EMS after self inflicted stab wounds to the neck and chest. As the patient is transferred to the ED stretcher, you frantically try to recall the initial priorities in the management of this potentially deadly injury....
An 82 yo male presents to the ED complaining of several months of progressive hearing loss in the right ear. For the past 3 days, he can hear a male voice singing opera in the right ear only, 24/7. Read on for a brief discussion of this fascinating phenomenon and how we cured him in 5 minutes!
A 30 year old male with no past medical history presents to the ED for epistaxis. You notice actice bleeding from right nare but cannot determine the exact source. Direct pressure was attempted for 20 minutes followed by application of a topical vasoconstrictor bleeding persists. What is the next best step in management of this patient's epistaxis?
B. Posterior Packing
C. Anterior Packing
D. Cautery with silver nitrate
Answer: C - Anterior Packing
A 35 year old female presents to the Emergency Department with sudden onset of right lower dental pain. Patient had a dental extraction for a dental carie 5 days ago. What is the most likely diagnosis?
A. Acute Necrotizing Ulcerative Gingivitis
C. Dental Abscess
D. Alveolar Osteitis
E. Post-Extraction Pain
Answer is D - Alveolar Osteitis (Dry Socket)
Loss of healing clot leads to pain and inflammation 3-5 days post extraction.
While we aren't dentists, it's very common to encouter ED patients with dental complaints. Dental blocks are a very useful tool in the care of patients with not only dental pain, but can also be used to anesthesize certain areas of the face for laceration repairs. Read on below for a guide on the different types of blocks.
Sore throat? Hot Potatoe voice? What's more bread and butter EM than drainage of a peritonsillar abscess?!?! Read on below for a few pearls when it comes to diagnosing and draining.