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Dental Infections

Matt DeLaney MD
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13:46
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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00:52

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EM:RAP 2017 October Written Summary 608 KB - PDF

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Lars E., M.D. -

Thank you so much for covering this topic. I kind of hope I am not alone in feeling I could use some more training on the best way to actually accomplish the incision and drainage procedure for dental abscess. This chapter makes it sound like this I+D procedure is a chip shot, but I don't find that to be the true in many of my cases. I'm one of those rural EM types with no oral surgeon or dentist on call. The local dentists won't see the Medi-Cal/uninsured patients who make up the majority of my dental pain patients. The cases that come in nice, ripe and pointing are pretty straightforward, but it seems most patients come in before this stage. They've got swelling, I think I can feel a firm area in there. I grab our ultrasound and compare the affected side to the opposite side and it looks like there is fluid in there. So I block them up, incise, and get nada. Now what? I'm reluctant to just do more blind cutting for fear of a complication. So I start aspirating with an 18 gauge needle and still usually don't find any pus. This seems to happen most commonly with maxillary/incisior space infections, but is true of infections buccal to the mandible as well. Maybe Dr. Mason can post up something on EMRAP HD ? Thank you for any additional help you can provide.

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EMA, Swadron, Herbert & Bundt Cake Goodness! Full episode audio for MD edition 280:40 min - 391 MB - M4AEM:RAP 2017 October Aussie Edition Australian 30:20 min - 42 MB - MP3EM:RAP 2017 October French Edition Français 24:50 min - 34 MB - MP3EM:RAP 2017 October German Edition Deutsche 58:35 min - 81 MB - MP3EM:RAP 2017 October Spanish Edition Español 77:32 min - 106 MB - MP3EM:RAP 2017 October Canadian Edition Canadian 29:54 min - 41 MB - MP3EM:RAP 2017 October Board Review Answers 100 KB - PDFEM:RAP 2017 October Board Review Questions 85 KB - PDFEM:RAP 2017 October Individual MP3s 172 MB - ZIPEM:RAP 2017 October Spanish Summary 1 MB - PDFEM:RAP 2017 October Written Summary 608 KB - PDF

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