Oral and Dental Emergencies – Mohammed Qahash, MS, DDS
10:30) Diseases of the Oropharynx – Philip Salen, MD
- Tooth Subluxation- loosening of tooth in alveolar socket
- Treatment: stabilize tooth and refer to omfs
- Tooth intrusion
- Tooth forced deeper into socket
- Tooth avulsion
- Permanent teeth should be replaced within 30 min
- Tooth fracture
- If open fracture give antibiotics
- Tongue Laceration
- Most don’t require surgical repair
- EXCEPTION TO RULE: lacs involving tip
- TAKE HOME POINTS PER DR. SALEN
- Pulp exposure in tooth fracture needs capping material
- Tooth subluxation or avulsion consider splinting
- Dentalgia no opioids; dental blocks and prescribe chlorhexidine mouth rinse
- Odontogenic infections can cause parapharyngeal space infections which are a risk for bad outcome
- All mandibular fractures are open; need antibiotics
- Lip laceration: vermillion border is key
11:30) Evaluation of Visual Loss – Jonathan Pester, DO
12:15) EM Case Presentation – Tyler VanZant, MD
- Pulmonary Embolism
- Clinical decision rules: Well’s, PERC
- Respiratory and hemodynamic support
- Supplemental O2 for SPO2 >90%
- Conservative IV fluid resuscitation
- Pressors
- Hemodynamically stable
- Anticoagulation with heparin with transition to oral
- Hemodynamically unstable
- Thrombolysis vs thrombectomy
December 14, 2023
7:00am – 9:00am: Medical Education Grand Rounds. Laros Auditorium
9a – 12p: Education Center, Lecture Room 2
9-9:30) Ear emergencies and common ear complaints – Patrick Cheatle, MD
9:30) Ocular Emergencies – Rachel Patterson, MD
10) ENT Cases – multiple faculty
10:45) Infections of the Neck and Upper Airway – Guhan Rammohan, MD
11:30) EM Case Presentation – Peter Gould, MD
12) Optional ENT Board Review –