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Sat May 23 16:41:58 BST 2009

Only in southern states does one need to clarify the number of ore- 
exsisting teeth in a Patient.

Louis N. Molino, Sr. CET
FF/NREMT/FSI/EMSI
Typed by my fingers on my iPhone.
Please excuse any typo's
(979) 412-0890 (Cell)
LNMolino at aol.com

On May 23, 2009, at 8:40, Tidewater001 <tidewater001 at aol.com> wrote:

> 47 Y/O WF unrestrained front seat in a pickup truck (the main mode  
> of transportation in the rural parts of SC) massively  
> intoxicated...eats the dashboard....literally....missing most of her  
> teeth now (don't quite know how many she had to start with)...no  
> mandibular/TMJ/facial bone/sinus/orbital fxs....in reviewing CT with  
> multiple Colleagues (Radiology/ENT/OMFS) we see no evidence of  
> Parotid injury. we see only some soft tissue swelling about her  
> face...more on the left with some sub-Q air left cheek....she  
> complains of continuing to spit blood which we initially thought was  
> from the dental trauma...however upon much closer inspection...blood  
> is almost continuously coming out of Stenson's duct...any  
> thoughts??? anyone want to angio her??? This is not her big  
> problem....she has pelvic/chest/long bone injuries and possibly a  
> pancreatic injury....I just found this interesting
>
> Gregory T. Squires, MD FACS
> Clinical Assistant Professor of Surgery
> Medical University of South Carolina
> Director of Trauma
> Trident Regional Medical Center
> Charleston, SC
> --
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salivating blood