RESUMO
Regional nerve blocks of the face are important skills every emergency physician ought to know. Facial anesthesia improves cosmetic outcomes, reduces pain, and improves patient satisfaction. Understanding the anatomy of the head and face is essential to the application of regional anesthesia, and this anatomy will be reviewed in depth. By completion of this article, physicians should appreciate the basics of the various nerve blocks of the head and face to repair any laceration.
Assuntos
Face/inervação , Bloqueio Nervoso/métodos , Orelha Externa/lesões , Emergências , Serviço Hospitalar de Emergência , Traumatismos Faciais/cirurgia , Nervo Facial/anatomia & histologia , Humanos , Lábio/lesões , Traumatismos Mandibulares/cirurgia , Nariz/lesões , Couro Cabeludo/lesõesRESUMO
This article presents an overview of facial wound management, beginning with a brief review of basic anatomy of the head and face as it relates to wound care. Basic wound management is discussed, and techniques for repairing specific cosmetically high-risk areas of the face, particularly the eyes, lips, and ears, are reviewed. Also described are the proper techniques for the management of an auricular hematoma.
Assuntos
Traumatismos Faciais/terapia , Emergências , Serviço Hospitalar de Emergência , Pálpebras/lesões , Traumatismos Faciais/cirurgia , Testa/lesões , Humanos , Lacerações/cirurgia , Lacerações/terapia , Lábio/lesões , Nariz/lesões , Couro Cabeludo/lesõesRESUMO
Any delivery in the emergency department is considered a precipitous birth and is an anxiety-producing event. Many deliveries proceed without incident. However, the emergency physician must be prepared for several dreaded scenarios, such as nuchal cord, shoulder dystocia, and breech birth. This article reviews the basics, complications, and management of such deliveries.