On Fri, 5 Jun 1998 [log in to unmask] wrote [snip]:
> As an aside, why not have parents just keep it on their shelf next to the
> bottle of Ipecac?
> Also, in an environment with ALS within 5 minutes and an ED within 15-20,
> does it really make a difference? If the best place is "in the mouth" at
> the ED, then why not have the ALS team do the same?
You have about 1 hour to get the tooth back in to have any chance of
reattachment. Anyone can put in back into the socket, including a parent
or medical staff at the game. There really isn't a need to call EMS and go
to the ED.
Using Hanks solution, or milk, or spit helps perserve the tooth root
viability until the tooth can be reimplanted. So, if someone can do it
right then and there, go for it. Otherwise use one of these solutions
(Hank's is probably best) and take a safe drive to your local ED. I don't
see the advantage of calling EMS unless they are going to put back the
tooth. I couldn't justify the risk of going with lights and siren to the
ED for a avulsed tooth.
BTW, why would you still have Ipecac at home? I don't believe that this is
any longer the standard recommendation of the poison control centers.
Jeff Linzer MD MICP
Division of Emergency Medicine
Egleston and Hughes Spalding Children's Hospitals
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