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Tytuł pozycji:

Ambulatory management of common ENT emergencies – what's the evidence?

Tytuł:
Ambulatory management of common ENT emergencies – what's the evidence?
Autorzy:
Heining, C J
Amlani, A
Doshi, J
Temat:
OUTPATIENT medical care
TONSILLITIS
NOSEBLEED
SYSTEMATIC reviews
PERITONSILLAR abscess
MEDICAL emergencies
MEDICAL referrals
DISEASE management
OTOLARYNGOLOGY
DISCHARGE planning
PATIENT safety
Źródło:
Journal of Laryngology & Otology; Mar2021, Vol. 135 Issue 3, p191-195, 5p
Czasopismo naukowe
Objectives: The global pandemic of coronavirus disease 2019 has necessitated changes to 'usual' ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the most common causes for emergency referral to the otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis. Methods: A literature review was performed, searching all available online databases and resources. The Medical Subject Headings 'tonsillitis', 'pharyngotonsillitis', 'quinsy', 'peritonsillar abscess' and 'epistaxis' were used. Papers discussing out-patient management were reviewed by the authors. Results: Out-patient and ambulatory pathways for tonsillitis and peritonsillar abscess are well described for patients meeting appropriate criteria. Safe discharge of select patients is safe and should be encouraged in the current clinical climate. Safe discharge of patients with epistaxis who have bleeding controlled is also well described. Conclusion: In select cases, tonsillitis, quinsy and epistaxis patients can be safely managed out of hospital, with low re-admission rates. [ABSTRACT FROM AUTHOR]
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