Do not transfer unless bleeding controlled and canulated - - started which side - - trauma, warfarin - - can source be localised & cauterised

ENT SRFT Flashcards by spencer shaw

Nasal trauma

3 Questions

Nasal deformity?
Brain, eye, maxilla injury?
Any acute ENT treatment
-- intractable epistaxis
-- septal haematoma
-- exposed bone/cartilage

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Nasal deformity Treatment

ENT clinic w/i 7 days

Manipulation w/i 10-14d

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Nasal trauma
ED must exclude
Prior to referral

Brain and macsfax injury

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Nasal trauma

Mechanism
Previous surgery
Nasal blockage/ bleed
Rhinorhea
Diplopia
Infra orbital numbness 
Loose teeth

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Epistaxis

Questions

Do not transfer unless bleeding controlled and canulated

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Epistaxis

Admission

Anyone who requires packing
Not actively bleeding but:
anaemia, high INR, social

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Epistaxis

Treatment

?HTN- diazepam 2mg TDS
Lateral pressure lower 1/3 - 10mins
Ice pack
Local cautery 
Rapid rhino; 1/2 sides
Spr: posterior pack, surgery, embolise

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Epistaxis

Cautery

Adrenaline and lidocaine gauze

Silver nitrate

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ENT SRFT Flashcards