Episode Chapters
- Introduction5:54Notes From the Community – Accelerated Diagnostic Pathway: PE24:55Mental Health Month - Introduction1:22Community Medicine Rants – Geriatric Patients in the ED19:39Paper Chase 1 – Does the FAST Exam Really Help?7:54Medical Myths – Post LP Headache11:17Back of the Bus – Should Paramedics Intubate Kids?18:31Mental Health Month – Nellie Bly5:49Paper Chase 2 – Can We Rule Out SAH Without a CT Scan?8:07Pediatric Pearls – Pediatric Dental – P121:31Tales From An Administrator – Hemoccult and Point of Care VBG’s7:41Mental Health Month – Joni Mitchell11:29Cardiology Corner - New ACS Guidelines23:19Paper Chase 3 – Progesterone for Traumatic Brain Injury9:17Annals of Emergency Medicine – Temporal Arteritis12:42Pediatric Pearls – Pediatric Dental – Part 214:55Paper Chase 4 – Mr CLEAN the Stroke Machine12:08Mental Health Month – Suicide4:43Doc in the Bay - KetamineFree Chapter21:23Paper Chase 4.5 – Intra-Arterial Stroke Might Be the Real Deal8:13LIN Session – In Flight Emergencies13:22Paper Chase 5 – Does Texting Improve Follow-Up?7:46Summary13:23EM:RAP 2015 May Canadian Edition17:44EM:RAP 2015 Peut Résumé en Francais59:38EM:RAP 2015 Mayo Resumen Español1h, 14mEM:RAP 2015 May Aussie Edition1h, 02m
Nurses Edition Commentary
Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
No me gusta!
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EM:RAP 2015 May Written Summary 1 MB - PDF
Fractured tooth? If it’s just the enamel, no worries. Just smooth it out. Once it gets to the dentin or pulp, the shield is down and bacteria can have their way.
A Totally Mental Month of Education! Full episode audio for MD edition 285:23 min - 332 MB - M4AEM:RAP 2015 May Canadian Edition Canadian 17:44 min - 24 MB - MP3EM:RAP 2015 Peut Résumé en Francais Français 59:38 min - 82 MB - MP3EM:RAP 2015 Mayo Resumen Español Español 74:07 min - 85 MB - MP3EM:RAP 2015 May Aussie Edition Australian 62:22 min - 86 MB - MP3EM:RAP 2015 May MP3 329 MB - ZIPEM:RAP 2015 May Written Summary 1 MB - PDFEM:RAP 2015 May Board Review Answers 415 KB - PDFEM:RAP 2015 May Board Review Questions 416 KB - PDFEM:RAP Español Mayo 2015 1 MB - PDF
Todd C. - May 4, 2015 7:37 AM
Splinting avulsed teeth in the ED is actually quite rare. I'd say I have to do at most once a year. Because of this, I doubt many EM physicians have much experience using dental compounds, even if your ED has them available.
Ilene touched on this, but I've had great experiences using tissue adhesive with the metal bar from an N95 mask as per this article: http://dx.doi.org/10.1016/j.annemergmed.2010.06.004
My only tip is to make sure the metal edges are rounded to prevent irritation. In my experience, the glue holds fine. I've done it 4-5 times total at this point.
ilene c. - May 4, 2015 8:15 PM
I love it! This sounds like a great idea for a frustrating situation. Keep the tips coming!
scott g. - May 18, 2015 5:47 AM
what are your thoughts on using a Dermabond like adhesive to cover tooth fractures to keep the dentin and pulp covered instead of Kopac?
ilene c. - June 16, 2015 9:53 PM
I found one case report of doing this (Hile LM, Ann EM 2006). I suppose it may be a bit harder for the dentist to remove, but sounds like a cleaver and safe option for the patient and, in this case, fixed her pain.