FOAMed

Pain Profiles: ED Migraine Management – The New Kid on the “Block”

Last month, a long-anticipated trial on ED migraine treatment came out evaluating the use of greater occipital nerve blocks (GONB) in the ED for refractory migraines. This edition of Pain Profiles looks at migraines, what we know about migraine treatment, and what nerve blocks bring to the table.

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EM@3AM: Ludwig’s Angina

A 28-year-old male presents for dysphagia and inability to handle secretions. His mouth hurts and noticed his neck looked larger than usual. He has been unable to eat for the past 12 hours due to pain with swallowing, drooling, and difficulty opening his mouth. Review of systems is remarkable for a recent dental infection of his right bottom molar. What’s the primary concern, and what’s your next step in your evaluation and treatment?

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