Archive

Medical Category: Head, Eye, Ear, Nose, and Throat

Systemic Review and Meta Analysis on Topical Pain Control in Corneal Abrasions

 Background Information: Corneal abrasions are responsible for the largest proportion of eye-related chief complaints in patients presenting to emergency departments in the United States. There is substantial variability in physician practice when it comes to pain control. Ophthalmology literature has …

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Head, Eye, Ear, Nose, and Throat

REBEL Cast Ep97: The NoPAC Trial – TXA for Epistaxis?

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Standard anterior epistaxis treatment consists of holding pressure, use of local vasoconstrictors, topical application of …

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Head, Eye, Ear, Nose, and Throat

Corneal Abrasions and Short-Term Topical Tetracaine

Background: Anyone who has had a corneal abrasion knows how painful it can be.   Unfortunately, traditional analgesic agents (ibuprofen, acetaminophen, opiates etc) are ineffective in relieving pain. Topical anesthetic drops can be diagnostic of superficial eye pathology and are routinely …

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Head, Eye, Ear, Nose, and Throat

Orbital Compartment Syndrome: Pearls and Pitfalls for the ED Physician

Orbital compartment syndrome (OCS) is a rare, vision-threatening diagnosis that requires rapid identification and immediate treatment for preservation of vision.1-4 As with other compartment syndromes, rapidly increasing and sustained high intraocular pressures (IOP) can result in devastating consequences. OCS causes …

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Head, Eye, Ear, Nose, and ThroatTrauma

REBEL Core Cast 42.0 – Orbital Compartment Syndrome

Take Home Points Trauma resulting in a retrobulbar hemorrhage can lead to orbital compartment syndrome which is a vision threatening injury Diagnosis is made clinically based on the presence of an afferent pupillary defect, vision loss and an intraocular pressure …

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Head, Eye, Ear, Nose, and Throat

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