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ENT Emergencies
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Airway compromise due to trauma
Ensure cervical spine stabilization; call emergency services immediately; prepare for rapid airway management.
Sudden hearing loss
Seek immediate medical attention; corticosteroids may be prescribed promptly; differentiate between conductive and sensorineural hearing loss.
Peritonsillar abscess
Seek immediate medical care; abscess may need to be drained; intravenous antibiotics may be administered.
Severe nosebleeds that restart after stopping
Tilt head forward and pinch nose; seek immediate medical help if re-bleeding occurs; may require cauterization or embolization.
Choking on an object
Perform the Heimlich maneuver on conscious individuals; if unconscious begin CPR; emergency bronchoscopy may be needed to remove the object.
Epistaxis (uncontrolled nosebleed)
Pinch nostrils and lean forward; if bleeding persists after 20 minutes seek emergency care; nasal packing may be required.
Traumatic injury to the ear
Cover the ear with a clean dressing; avoid plugging the ear canal; seek emergency care for assessment and possible intervention.
Throat obstruction due to edema
Maintain patient calm and upright; administer racemic epinephrine if stridor is present; prepare for potential intubation.
Acute vertigo with hearing loss
Seek medical care urgently; assess for Meniere's disease or labyrinthitis; antiemetics and vestibular suppressants may be provided.
Severe otalgia (ear pain)
Assess for signs of infection; provide pain relief; seek further medical evaluation for potential otitis media or externa.
Stridor (high-pitched wheezing sound)
Call emergency services immediately; be ready to support airway; possible tracheostomy if severe.
Severe sore throat with fever
Seek medical evaluation; consider peritonsillar abscess; throat cultures and antibiotics may be required.
Foreign body in ear, nose, or throat
Do not attempt to remove the object; seek immediate medical attention; removal may require special instruments or surgery.
Angioedema (sudden facial swelling)
Monitor airway closely; administer antihistamines and corticosteroids; possible adrenaline if anaphylactic.
Facial nerve paralysis (sudden onset)
Immediate referral to an ENT specialist; evaluate for Bell's palsy or stroke; corticosteroids and antiviral treatment may be started.
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