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Is the emergency department management of ENT foreign bodies successful? A tertiary care hospital experience in Australia

Citation

Gupta, R and Nyakunu, RP and Kippax, JR, Is the emergency department management of ENT foreign bodies successful? A tertiary care hospital experience in Australia, Ear, Nose and Throat Journal, 95, (3) pp. 113-116. ISSN 0145-5613 (2016) [Refereed Article]

Abstract

We evaluated the role of the emergency department (ED) in the management of ear, nose, and throat foreign bodies in an Australian tertiary care hospital. We retrospectively reviewed all cases of ENT foreign-body presentations in the ED over a 2-year period. We identified 168 such cases, a large proportion of which involved pediatric patients. In addition to demographic factors, we also collected data on the nature of the foreign bodies, the specific sites involved, the rate of successful treatment by the ED staff, the seniority/rank of the treating clinician, and complications. Foreign bodies in the ear accounted for 49% of all cases, the nose for 43%, and the throat for 8%. The ED staff attempted to remove the foreign body in 89% of cases, while the rest were referred to the ENT team. The rate of successful removal of all foreign bodies attempted by the ED team was fairly high-78%; success rates were 86% for nasal foreign bodies, 72% for aural objects, and 67% for those lodged in the throat. No major complications occurred; minor bleeding episodes after removal occurred in 8% of cases. Most ENT foreign-body presentations were managed safely and entirely by the ED team; most of the ENT referrals were to outpatient clinics.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Emergency Medicine
Objective Division:Expanding Knowledge
Objective Group:Expanding Knowledge
Objective Field:Expanding Knowledge in the Medical and Health Sciences
Author:Kippax, JR (Dr Jorian Kippax)
ID Code:119777
Year Published:2016
Web of Science® Times Cited:1
Deposited By:Medicine (Discipline)
Deposited On:2017-08-04
Last Modified:2017-08-04
Downloads:0

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