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Tuesday, August 24, 2021

Ludwig’s Angina

Fist10EM - By Punithan Thiagalingam - August 23, 2021
The paper: 
Bridwell R, Gottlieb M, Koyfman A, Long B. Diagnosis and management of Ludwig’s angina: An evidence-based review. Am J Emerg Med. 2021 Mar;41:1-5. doi: 10.1016/j.ajem.2020.12.030. Epub 2020 Dec 23. PMID: 33383265
…”What is the initial ED management?
  1. Airway assessment and management
  2. Broad Spectrum Antibiotics
  3. Dexamethasone (to reduce edema and improve antibiotic penetration)
  4. Surgical debridement of any necrotic tissue and drainage of any abscess 
Swabs of the involved area are low yield and likely to have multiple contaminants. There is limited evidence for nebulized epinephrine…”