Rural Emergency Medicine Podcast Episode 13: ED Tips and Tricks
Sep 1, 2018
Discover innovative tips to enhance patient care in rural emergency departments. Learn about the sphenopalatine ganglion block for migraine relief and advanced pain management techniques for nasal injuries. Hear personal stories illustrating the effectiveness of paracervical injections for tension headaches. Explore quirky solutions, like using wood glue for cactus quill removal. Gain insights into improving patient flow with a non-traumatic shoulder reduction method and creative dental emergency strategies. Efficiency meets empathy in emergency medicine!
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Sphenopalatine Block Success Story
- Carl Richards treated an 80-year-old with daily migraines using sphenopalatine block.
- The patient's pain dropped from 10/10 to zero within 10 minutes, showing fast relief.
Sphenopalatine Block for Migraines
- Use a sphenopalatine ganglion block with viscous lidocaine for migraines.
- Insert a lidocaine-soaked cotton applicator into the nose for 5-10 minutes to relieve headache pain.
Paracervical Injection for Headache
- For tension headaches and occipital tenderness, use paracervical injections near C6 vertebrae.
- Inject 2.5-3 ml of 0.5% Marcaine and 2% Lidocaine on each side for relief.