This document provides an overview of common ENT emergencies and casualties that general practitioners may encounter. It discusses acute airway obstruction, otology issues like otitis externa and media, rhinologic emergencies including epistaxis, and various head and neck problems such as tonsillitis, peritonsillar abscess, and foreign bodies. Management strategies are outlined for these conditions. The document concludes with asking for feedback on the educational lecture via text message.
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ENT Emergencies Guide
1. DR. MTD LAKSHAN
MBBS(Col), MS(ORL), DOHNS (UK),
FEB (ORL–HNS), FRCS Ed (ORL-HNS)
Consultant ENT and Head and Neck Surgeon
DGH Hambantota
Common ENT
Emergencies / Casualties
6. GP Training Lecture – Tissa – May 2013
Management
•Call for help - Anaesthetists, ENT
–Support airway ABC
–O2, Nebulisations, steroids
–Heliox
•Airway Interventions
–Cricothyroidotomy, ETT
–Tracheostomy
27. LMN Facial Nerve Palsy
Not all - Bell’s
–Ear
–Parotid
–Paraphayrngeal
–Skull Base
–Temporal Bone Trauma
• note the onset
– with the trauma or delayed
28. Management
•Treat the cause
•Idiopathic
–Steroids 1mg/kg for 10d tapering
–Acyclovir 200mg 5/d 1 w
–Eye Care
• Hypermellose eye drops
–Physiotherapy
•OPA
– ENT urgent if TM / parotid abnormal, If not, non-urgent
ENT review.
36. Fracture of Nasal Bones
MUA window 5 days - two
weeks
Not early due to swelling
Not later - bony fusion
No deformity, No septal
Haematoma --> No
intervention
If deformity/ Not sure -> OPA
4-5 days
48. SMS A,B,C,D
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In managing a patient with quinsy what is the
best option?
A.Oral antibiotics for 5 days
B.Intravenous antibiotics
C.Incision and drainage
D.Aspiration
E.Do nothing
49. SMS A,B,C,D
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A patient presents with sudden deafness. What
is the most appropriate management option?
A.IV antibiotics
B.Refer to the out patients department
C.Steroids
D.Arrange an urgent MRI Scan
E.Give 48 hours to see whether it self improves
50. SMS A,B,C,D
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What is the best mangement option for a
perichondrial cyst?
A.Aspiration
B.Incision and drainage
C.Pressure
D.Usually settles without any treatment
E.Secondary to infection
51. SMS A,B,C,D
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Stridor
A.Can be due to obstruction at palatal level
B.Epiglotitis is caused by influenza
C.Cutaneous and airway haemangioma are not
related
D.In Pierre Roban sequence micrognathia is a
feature
E.Tracheostomy is the last resort
52. SMS A,B,C,D
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Was the lecture useful?
A.Yes (Great!)
B.Yes (OK)
C.No
D.Utter waste of my valuable time!