EM Cases · Maxillofacial and dental emergencies
Ludwig's angina — resus station
ACEM Fellowship resus station testing Ludwig's angina airway plan, antibiotics and surgical timeline.
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Study tools
Target exams
ACEMFRCEMABEM
Prompt
A 34-year-old with progressive toothache and floor-of-mouth swelling, drooling and muffled voice.
Station brief
Format. Clinical-management station, 11 minutes.
Candidate instructions. Manage a 34-year-old man presenting with toothache progressing to floor-of-mouth swelling, drooling, muffled voice. [1]
References4ShowHide
- [1]Bridwell R, Gottlieb M, Koyfman A, Long B. Diagnosis and management of Ludwig's angina: an evidence-based review Am J Emerg Med, 2021.PMID 33383265
- [2]Vieira F, Allen SM, Stocks RMS, Thompson JW. Deep neck infection Otolaryngol Clin North Am, 2008.PMID 18435993
- [3]Brajkovic D, Zjalić S, Kiralj A. Prognostic factors for descending necrotizing mediastinitis in deep neck infection Eur Arch Otorhinolaryngol, 2022.PMID 34542654
- [4]Hopper RA, Salemy S, Sze RW. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics, 2006.PMID 16702454