104 Dental Emergencies

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 19 April 2021

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join Dr. Alex Koo, active duty Army emergency physician, as he discusses dental emergencies, a common emergency department complaint, but an uncommon educational topic. We'll discuss an approach to collecting a focused history, physical, as well as formulating a thorough differential and treatments for common ED dental emergencies. Some questions that we'll answer are:

What are the red flags we should be aware about for dental complaints?
What is the basic anatomy and nomenclature for numbering teeth?
What differential should be considered for traumatic and atraumatic dental complaints?
How should we treat dental pain?
How do I splint a tooth in the emergency department?

We answer these questions and more in this episode!

Transcript

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0:00.0	Hey everyone. My name is Alex Koo and I'm an emergency medicine attending at Madigan Army Medical Center.
0:07.0	I also am an active duty Army EM physician with the 102 Second 4 Resuscitative Surgical Detachment
0:13.0	and the former infantry physician for the Tutu Striker Brigade Combat Team.
0:18.0	I have a special interest in medic and resident education along with simulation training.
0:23.3	It's great to be here. Thanks to Dr. McCollum and Carol for posting this podcast, the reviews of
0:28.9	the scripts, and their EM Basic podcast, which has helped build a foundation to emergency medicine
0:33.6	when I as a medical student and intern. I'm hoping today's podcast will give future and current
0:38.6	EM physicians just a bit more knowledge or review on some EM basic topics. A quick disclaimer,
0:45.1	the views expressed are those of myself and do not reflect official policy of the Department of the
0:49.2	Army, the Department of Defense, or the U.S. government. I have no conflicts of interest, and today's
0:53.5	podcast is purely
0:54.4	educational. And practice patterns may vary depending on your medical setting and training.
0:59.4	We'll talk about dental emergencies today and cover diseases pertaining to the teeth and gum line.
1:04.7	Now, while I'd love to delve into the pathology with the rest of the oral pharynx, neck, and sinuses,
1:09.4	there's just too much to cover for one podcast.
1:11.9	We'll start with some terminology and anatomy, our initial impression when seeing a patient with
1:16.6	dental complaints, history, physical, workup, and differential with treatments. Intended audiences
1:23.5	for this podcast are third and fourth year medical students, interns, and residents.
1:29.3	This doesn't mean attendings or others can't join in for the fun.
1:33.3	So why teeth? Why should I care?
1:35.3	Firstly, the frequency of dental complaints. Dental complaints range anywhere from 0.4% to 10% of all ED visits,
1:43.3	depending on your setting.
	...

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