Archive

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

REBEL Cast Episode 39 – The TOAST Trial: Dexamethasone for Acute Pharyngitis

Background: Sore throat is a common presentation to the emergency department as well as primary care clinics.  Corticosteroids inhibit transcription of pro-inflammatory mediators in airway endothelial cells responsible for pharyngeal inflammation and symptoms of pain.  They have been used in ...

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Head, Eye, Ear, Nose, and Throat

Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

This post is part 2 of epistaxis dogma. In the first post, we discussed the (dis)utility of prophylactic antibiotics in patients with epistaxis who require nasal packing. Here, we will take on dogma #2: Dogma #2: Patients with posterior packs ...

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Head, Eye, Ear, Nose, and Throat

Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics?

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). Posterior epistaxis is considerably less common than anterior epistaxis and represents about 5-10% of all presentations. ...

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Head, Eye, Ear, Nose, and ThroatInfectious Disease

Topical Tranexamic Acid for Epistaxis or Oral Bleeds

Recently, there has been a lot of buzz about the use of topical tranexamic acid for epistaxis or oral bleeds on multiple social media platforms. Everyone seems so happy that it works so well, but we thought we would look through ...

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Head, Eye, Ear, Nose, and ThroatHematology and Oncology

Topical Anesthetic Use on Corneal Abrasions

Patients with corneal abrasions typically come to the emergency department for eye pain.  Most physicians treat these with topical antibiotics, oral analgesia, and for those who are lucky enough 48 – 72 hour follow up with ophthalmology. Oral analgesia does ...

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Head, Eye, Ear, Nose, and Throat

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