Sep 24, 2013

Interview Transcript

Scot: Is it bad enough to go to the emergency room? Or isn't it? Find out now. This is ER or Not on The Scope.
Okay, it's time for another edition of ER or Not with Dr. Troy Madsen, Emergency Physician at the University of Utah Medical Center. This is where you get to learn whether you should go to the ER or not for various ailments.
It's a Sunday morning and I have this killer toothache. ER or not?

Dr. Troy Madsen: That's a great question because a lot of people make the decision to go to the ER, especially at the University of Utah, because for some reason a lot of people think we have dentists in the ER, but unfortunately we do not.
As an emergency physician I'm not trained, it's just not part of what I do to pull a tooth if you've got a severe cavity. So if you've got a toothache, as long as you can control the pain at home, I would say don't go to the ER.
If it's something where the pain is so severe, you just cannot get it under control, you can come to the ER. Just keep in mind we won't be able to do a whole lot more than maybe put you on some antibiotics to cool down that infection in your tooth, get you some pain medication, get you feeling a little better. But the bottom line is, you will need to see a dentist for that.

Scot: What if it's an abscessed tooth and you feel it like looks really ugly in there?'

Dr. Troy Madsen: If you're at a point where it's not just tooth pain but you've got a lot of swelling on the side of your face, if it's extending down into your neck, certainly if it's causing any trouble breathing, absolutely go to the ER. That's a situation where we need to see you emergently.

Scot: All right, what about for the tooth pain? If it was just the pain could you go to emergency care?

Dr. Troy Madsen: Sure, yes if you could get into an urgent care. A Sunday morning you're going to have a tough time obviously seeing your dentist, but at least if you can go to an urgent care they can give you everything that we would do in the ER.

Announcer: We're your daily dose of science, conversation, medicine. This is The Scope, University of Utah's Health Sciences Radio.

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