Emergency Medicine

396 ENT emergencies TRAUMATIC CONDITIONS OF THE EAR Subperichondrial haematoma DIAGNOSIS 1 Blunt trauma to the ear causes bleedi ...

TRAUMATIC CONDITIONS OF THE EAR ENT emergencies 397 3 Do not attempt any further manoeuvres if the object is not freed instantly ...

Non-traumatic Conditions of the Ear 398 ENT emergencies 5 Remember that basal skull fracture can be a clinical diagnosis, if X-r ...

NON-TRAUMATIC CONDITIONS OF THE EAR ENT emergencies 399 2 Movement of the pinna and introduction of a speculum exacerbate the pa ...

NON-TRAUMATIC CONDITIONS OF THE EAR 400 ENT emergencies Vertigo DIAGNOSIS 1 Tw o m a i n g r o u p s o c c u r : (i) Peripheral ...

Traumatic Conditions of the Nose ENT emergencies 401 (b) trauma to the temporal bone or a facial laceration in the parotid area ...

Non-traumatic Conditions of the Nose 402 ENT emergencies MANAGEMENT 1 Refer any patient with a grossly deformed or compound frac ...

NON-TRAUMATIC CONDITIONS OF THE NOSE ENT emergencies 403 MANAGEMENT 1 Bleeding from Little’s area (i) Pinch the anterior part of ...

Non-traumatic Conditions of the Throat 404 ENT emergencies (e) remember in adults the nose extends 6.5–7.5 cm backwards to the p ...

NON-TRAUMATIC CONDITIONS OF THE THROAT ENT emergencies 405 3 Send blood for FBC, electrolyte and liver function tests (ELFTs) an ...

NON-TRAUMATIC CONDITIONS OF THE THROAT 406 ENT emergencies 2 Otherwise, attempt to remove a fish bone from the tonsil or the bac ...

Further Reading ENT emergencies 407 (i) Reassure the parents that most objects will pass spontaneously. (ii) Request immediate r ...

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OPHTHALMIC EMERGENCIES Section XIV ...

410 Ophthalmic Emergencies Topical Ophthalmic Preparations Ophthalmic emergencies may be grouped into traumatic or non-traumatic ...

Ophthalmic Emergencies 411Ophthalmic Emergencies 411 Traumatic Conditions of the Eye Periorbital haematoma (‘black eye’) DIAGNOS ...

TRAUMATIC CONDITIONS OF THE EYE 412 Ophthalmic Emergencies 2 Traumatic (i) This may be due to a surface conjunctival foreign bod ...

TRAUMATIC CONDITIONS OF THE EYE Ophthalmic Emergencies 413 4 Take care to irrigate all corners of the eye and to evert the upper ...

TRAUMATIC CONDITIONS OF THE EYE 414 Ophthalmic Emergencies 6 Always remember the possibility of intraocular penetration, with an ...

TRAUMATIC CONDITIONS OF THE EYE Ophthalmic Emergencies 415 2 There is intense pain, watering and blepharospasm occurring after a ...