104 Dental Emergencies

In this EM Basic podcast, Dr. Alex Koo discusses dental emergencies for medical students, interns, and residents. He covers dental terminology and anatomy, and provides guidance on initial patient assessment, history taking using the OLDCARTS mnemonic, and physical examination techniques, including how to assess for trismus and mandibular fractures. Dr. Koo also addresses when imaging and labs are necessary. He outlines pain management strategies, emphasizing NSAIDs and acetaminophen over opioids, and reviews the classification, emergency department treatments, and management of both atraumatic (odontogenic and gingival) and traumatic dental issues, including caries, abscesses, gingivitis, tooth subluxation, avulsions, and fractures. The podcast concludes with a discussion on disposition, stressing the importance of recognizing red flags that necessitate admission and ensuring timely dental follow-up.