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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Cranial Nerve VI Palsy Emergency

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jueves, 2 de junio de 2016

Beyond opioids for dental pain


Highland EM - February 20, 2016
"Dental pain is hard to argue with. A rotten tooth is crazy painful and emergency clinicians want to help their patients get out of pain. But, too many of us have been trained to equate compassionate pain treatment with opioids like the omnipresent Norco (hydrocodone).
Lets fix this.... 
Beyond opioids emergency treatment of dental pain 
STEP I. 
Dental Block with bupivicaine 
STEP 2.
Dexamethasone 4 mg sub cutaneous near hurting tooth or 8mg IM systemic. 
STEP 3. 
NSAIDs: Ibuprofen 400-600 mg + Acetaminophen 1000 mg Q 6 hours 
STEP 4. 
Acute dose gabapentin /pregabalin"