EM:RAP

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CorePendium receives weekly updates from our expert team, bringing the latest evidence and clinical insights directly to you. We added Cyclospora🦠 to the Foodborne and Waterborne Diarrheal Illnesses 💧🥗 chapter so check it out today!
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📚✨CorePendium Media Highlight
Ludwig angina is a rapidly progressive infection of the submandibular space that can elevate the tongue, distort the airway, and quickly become life-threatening.

⚠️ Think beyond the swelling:
🦷 Often starts with an odontogenic infection
👅 Tongue elevation and "woody" submandibular swelling are key clues
🫁 Airway comes first—early planning is critical
💉 Start broad-spectrum antibiotics and involve ENT/oral surgery early

Want the full workup, airway pearls, imaging recommendations, and treatment algorithm? Dive into the CorePendium chapter on Ludwig angina for a comprehensive, evidence-based review.

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Ludwig Angina CorePendium chapter: https://www.emrap.org/corependium/chapter/recHBlaBm5mlO0LsY/Ludwig-Angina

📚✨CorePendium Media Highlight
Regional nerve blocks can provide powerful, opioid-sparing analgesia for lower extremity injuries and procedures in the emergency department. 🦵💉

This graphic maps the sensory coverage of several commonly used lower extremity nerve blocks:
• PENG and fascia iliaca blocks target hip and proximal femur pain
• Femoral nerve blocks cover much of the anterior thigh and knee
• Proximal and distal sciatic blocks anesthetize large portions of the posterior leg and lower extremity
• Posterior tibial nerve blocks are useful for plantar foot procedures and injuries

Understanding the distribution of anesthesia for each block helps clinicians choose the right technique for fractures, dislocations, laceration repair, and procedural pain control. 🩺

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