loader from loading.io

Podcast 844: Dental Infections

Emergency Medical Minute

Release Date: 01/10/2023

Episode 955: Cardiac Effects of COVID-19 show art Episode 955: Cardiac Effects of COVID-19

Emergency Medical Minute

Contributor: Ricky Dhaliwal, MD Educational Pearls: What factors are considered in a COVID-19 infection? The viral load: Understood as the impact of SARS-CoV-2 viral particles infecting host cell tissue itself (utilizing ACE-2 receptors). Pro-Inflammatory Response: Post-infection, the body's downstream systemic cytokine release (can be both normal or hyperactive, aka “cytokine storm”). What cardiac impacts have been observed with COVID-19? Arrhythmias: The mechanism of COVID-19 infection and arrhythmias is believed to be multifactorial. However, evidence suggests T-cell-mediated...

info_outline
Episode 954: Combo Rescue Inhalers - New Guidelines show art Episode 954: Combo Rescue Inhalers - New Guidelines

Emergency Medical Minute

Contributor: Aaron Lessen, MD Educational Pearls: What is a Rescue Inhaler? A rescue inhaler is a medication for people with asthma to quickly reverse the symptoms of an asthma attack.  Historically albuterol (Short Acting Beta Agonist (SABA)) monotherapy has been the mainstay rescue inhaler. This is because albuterol works fast and is relatively cheap. \n\n What are Combination Rescue Inhalers? Combination rescue inhalers contain a fast-acting bronchodilator as well as an inhaled corticosteroid (ICS) The steroid helps to reduce some of the chronic airway inflammation that is...

info_outline
Episode 953: Penicillin Allergies show art Episode 953: Penicillin Allergies

Emergency Medical Minute

Contributor: Geoff Hogan MD Educational Pearls: Penicillin allergies are relatively uncommon despite their frequent reports 10% of the population reports a penicillin allergy but only 5% of these cases are clinically significant 90-95% of patients may tolerate a rechallenge after appropriate allergy evaluation Penicillin Allergy Decision Rule (PEN-FAST) on MD Calc Useful tool to assess patients for penicillin allergies Five years or less since reaction = 2 points (even if unknown) Anaphylaxis or angioedema OR Severe cutaneous reaction = 2 points  Treatment required for...

info_outline
Episode 952: Heart Transplants show art Episode 952: Heart Transplants

Emergency Medical Minute

Contributor: Travis Barlock, MD Educational Pearls: Key clinical considerations when managing heart transplant patients due to their unique pathophysiology 1. Arrhythmias A transplanted heart is denervated, meaning it lacks autonomic nervous system innervation The lack of vagal tone results in an increased resting heart rate Adenosine can be used since it primarily slows conduction through the AV node  Atropine is ineffective in treating transplant bradyarrhythmia because its mechanism is to inhibit the vagus nerve - but the heart lacks vagal tone Allograft rejection can...

info_outline
Episode 951: Pediatric Febrile Seizures show art Episode 951: Pediatric Febrile Seizures

Emergency Medical Minute

Contributor: Taylor Lynch, MD Educational Pearls: Pediatric febrile seizures are defined as seizures that occur between the ages of six months to five years in the presence of a fever greater than or equal to 38.0 ºC (100.4 ºF). It is the most common pediatric convulsive disorder, with an incidence between 2-5% What are the types of seizures? Simple: Tonic-clonic seizure, duration <15 minutes, only one occurrence in a 24-hour period, ABSENCE of focal features, ABSENCE of Todd’s paralysis Complex: Duration >15 minutes, requires medication to stop the seizing, multiple...

info_outline
Episode 950: Ultrasound Pulse Check During Cardiac Arrest show art Episode 950: Ultrasound Pulse Check During Cardiac Arrest

Emergency Medical Minute

Contributor: Aaron Lessen, MD Educational Pearls: Point-of-care ultrasound (POCUS) is used to assess cardiac activity during cardiac arrest and can identify potential reversible causes such as pericardial tamponade Ultrasound could be beneficial in another way during cardiac arrest as well: pulse checks Manual palpation for detecting pulses is imperfect, with false positives and negatives Doppler ultrasound can be used as an adjunct or replacement to manual palpation for improved accuracy Options for Doppler ultrasound of carotid or femoral pulses during cardiac arrest: ...

info_outline
Episode 949: Hoover's Sign show art Episode 949: Hoover's Sign

Emergency Medical Minute

Contributor: Travis Barlock, MD Educational Pearls: What is Hoover’s sign used to identify? This physical exam maneuver differentiates between organic vs. functional (previously known as psychogenic) leg weakness. Organic causes include disease processes such as stroke, MS, spinal cord compression, guillain-barre, ALS, and sciatica, among others In Functional Neurologic Disorder, the dysfunction is in brain signaling, and treatment relies on more of a psychiatric approach How is Hoover's Sign performed? Place your hand under the heel of the unaffected leg and ask the patient to...

info_outline
Episode 948: CYP Inducers and Inhibitors show art Episode 948: CYP Inducers and Inhibitors

Emergency Medical Minute

Contributor: Jorge Chalit-Hernandez, OMS3 Educational Pearls: CYP enzymes are responsible for the metabolism of many medications, drugs, and other substances CYP3A4 is responsible for the majority Other common ones include CYP2D6 (antidepressants), CYP2E1 (alcohol), and CYP1A2 (cigarettes) CYP inducers lead to reduced concentrations of a particular medication CYP inhibitors effectively increase concentrations of certain medications in the body Examples of CYP inducers Phenobarbital Rifampin  Cigarettes St. John’s Wort Examples of CYP inhibitors -azole...

info_outline
Episode 947: Hypercapnia show art Episode 947: Hypercapnia

Emergency Medical Minute

Educational Pearls: Physiologic stimulation of ventilation occurs through changes in levels of: Arterial carbon dioxide (PaCO2) Arterial oxygen (PaO2) Hypercapnia is an elevated level of CO2 in the blood - this primarily drives ventilation Hypoxia is a decreased level of O2 in the body’s tissues - the backup drive for ventilation Patients at risk of hypercapnia should maintain an O2 saturation between 88-92% Normal O2 saturation is 95-100% In patients who chronically retain CO2, their main drive for ventilation becomes hypoxia An audit was performed of SpO2 observations...

info_outline
Episode 946: Time to Defibrillation show art Episode 946: Time to Defibrillation

Emergency Medical Minute

Contributor: Aaron Lessen, MD Educational Pearls: Quick background info Cardiac arrest is when the heart stops pumping blood for any reason. This is different from a heart attack in which the heart is still working but the muscle itself is starting to die. One cause of cardiac arrest is when the electrical signals are very disrupted in the heart and start following chaotic patterns such as Ventricular tachycardia (VTach) and Ventricular fibrillation (VFib) One of the only ways to save a person whose heart is in VFib or VTach is to jolt the heart with electricity and terminate the...

info_outline
 
More Episodes

Contributor: Meghan Hurley, MD

Educational Pearls:

Educational Pearls:

  • Dental infections can be categorized into two main groups
    • Infections of the gums
      • Pericoronitis
        • Tooth eruption leading to inflammation/irritation
        • Can progress to an infection
        • Requires pain control, no antibiotics
      • Gingivitis
        • Inflammation of the gums
        • Can lead to an infection requiring antibiotics
      • Abscess (gums)
        • If an infection develops in the gums it can progress to an abscess
        • May require drainage
      • Acute necrotizing ulcerative gingivitis (ANUG) aka Trench Mouth
        • Filmy, grayish discoloration of the gums with “punched out” lesions
        • Extremely painful
        • Can cause teeth to loosen and fall out
        • Treat with IV antibiotics + admission
    • Infections of the teeth
      • Dental caries
        • Causes sensitivity tooth enamel is worn through
        • Can lead to infection
      • Periapical abscess
        • Abscess that extends through the root of the tooth
        • Can develop up elsewhere in tooth/gums/mouth
        • Causes tooth sensitivity when tapped
      • Ludwig angina
        • Infection of the soft tissue under the tongue
        • Can compromise airway as it expands
        • Treat with extensive antibiotics and debridement
  • Antibiotic stewardship
    • Commonly used antibiotics for dental infections
      • Clindamycin
      • Augmentin
      • Amoxicillin
    • Chlorhexidine (Peridex)
      • Antiseptic and disinfectant that is helpful for gingival irritation

 

References

Bridwell R, Gottlieb M, Koyfman A, Long B. Diagnosis and management of Ludwig's angina: An evidence-based review. Am J Emerg Med. Mar 2021;41:1-5. doi:10.1016/j.ajem.2020.12.030 

Dufty J, Gkranias N, Donos N. Necrotising Ulcerative Gingivitis: A Literature Review. Oral Health Prev Dent. 2017;15(4):321-327. doi:10.3290/j.ohpd.a38766

Herrera D, Roldán S, Sanz M. The periodontal abscess: a review. J Clin Periodontol. Jun 2000;27(6):377-86. doi:10.1034/j.1600-051x.2000.027006377.x

Kumar S. Evidence-Based Update on Diagnosis and Management of Gingivitis and Periodontitis. Dent Clin North Am. Jan 2019;63(1):69-81. doi:10.1016/j.cden.2018.08.005

Kwon G, Serra M. Pericoronitis. StatPearls. StatPearls Publishing

Copyright © 2022, StatPearls Publishing LLC.; 2022.

 

Summarized by Mark O’Brien, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

 

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.