scholarly journals Review article: Topical antibiotic treatments for acute otitis externa: Emergency care guidelines from an ear, nose and throat perspective

2021 ◽  
Author(s):  
Hershil Khatri ◽  
Johnson Huang ◽  
Emily Guazzo ◽  
Craig Bond
Keyword(s):  
Emergency Care ◽  
Otitis Externa ◽  
Review Article ◽  
Topical Antibiotic ◽  
Care Guidelines ◽  
Nose And Throat

EXISTING EMERGENCY MANAGEMENT USED FOR VISARPA DISEASE

2020 ◽  
Vol 8 (9) ◽  
pp. 4478-4486
Author(s):  
Kendre Manchak ◽  
Jaybhaye Sulakshana
Keyword(s):  
Intensive Care ◽  
Emergency Management ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Emergency Treatment ◽  
Review Article ◽  
Care Research

Emergency management in Visarpa is most challenging. The aim of this study is to review the existing Crit-ical care for Visarpa from basic Ayurveda classics as well as online. In this review article, after evaluation of emergency care from brihatrayai as well as laghutrai and available relevant 21 articles regarding Visarpa chikitsa, we discussed the need of development of Ayurveda diagnostic as well as intensive care units in present era. It is found that emergency treatment is not available to the satisfaction in Ayurveda literature. Therefore, possible strategy regarding emergency care research for this critical disease is provid-ed which is useful for Ayurveda researchers.

Emergency care guidelines

1991 ◽  
Vol 20 (12) ◽  
pp. 1389-1395 ◽  
Author(s):  
AMERICANCOLLEGEOFEMERGENCYPHY
Keyword(s):  
Emergency Care ◽  
Care Guidelines

scholarly journals Diagnosis and medical treatment of otitis externa in the dog and cat : review article

2002 ◽  
Vol 73 (4) ◽  
Author(s):  
L.S. Jacobson
Keyword(s):  
Otitis Externa ◽  
Foreign Bodies ◽  
Topical Therapy ◽  
Review Article ◽  
Ear Canal ◽  
Contributing Factors ◽  
Dermatological Disease ◽  
Client Education ◽  
Culture And Sensitivity

Otitis externa is no longer viewed as an isolated disease of the ear canal, but is a syndrome that is often a reflection of underlying dermatological disease. Causes are classified as predisposing (increase the risk of otitis) ; primary (directly induce otitis), secondary (contribute to otitis only in an abnormal ear or in conjunction with predisposing factors) and perpetuating (result from inflammation and pathology in ear, prevent resolution of otitis). Common primary causes include foreign bodies, hypersensitivity (particularly atopy and food allergy), keratinisation disorders (most commonly primary idiopathic seborrhoea and hypothyroidism) and earmites, particularly in cats. A systematic diagnostic procedure is required to identify causes and contributing factors. This should include history, clinical examination, otoscopy and cytology in all cases and culture and sensitivity as well as otitis media assessment and biopsy in severe and recurrent cases. Ancillary tests may be required depending on the underlying cause. Treatment consists of identifying and addressing predisposing and primary factors ; cleaning the ear canal ; topical therapy ; systemic therapy where necessary ; client education ; follow-up ; and preventive and maintenance therapy as required.

ENT Surgery

2019 ◽  
pp. 95-108
Author(s):  
Ashis Banerjee ◽  
Anisa J. N. Jafar ◽  
Angshuman Mukherjee ◽  
Christian Solomonides ◽  
Erik Witt
Keyword(s):  
Emergency Department ◽  
Otitis Externa ◽  
Foreign Bodies ◽  
Peritonsillar Abscess ◽  
Short Answer ◽  
Ent Surgery ◽  
Accompanying Symptoms ◽  
Short Answer Questions ◽  
Nose And Throat ◽  
Emergency Doctor

This chapter on ear, nose, and throat (ENT) surgery contains seven clinical Short Answer Questions (SAQs) with explanations and sources for further reading. Possible disorders and accompanying symptoms of ENT origin that may present in the emergency department include epistaxis, vertigo, peritonsillar abscess, nasal fracture, foreign bodies, and otitis externa. It will be up to the emergency doctor to assess, diagnose, and decide upon a treatment path for each patient. The cases described in this chapter are all situations any emergency doctor is likely to encounter at some point in his or her career. The material in this chapter will greatly aid revision for the Final FRCEM examination.

scholarly journals Compliance of ENT emergency surgery with the Royal College of Surgeons standards

2016 ◽  
Vol 98 (1) ◽  
pp. 45-48 ◽  
Author(s):  
S Sharma ◽  
A Yao ◽  
S Mahalingam ◽  
R Persaud
Keyword(s):  
Blood Transfusion ◽  
Best Practices ◽  
Royal College ◽  
Emergency Care ◽  
Emergency Surgery ◽  
Best Practice ◽  
Online Questionnaire ◽  
Mean Compliance ◽  
Nose And Throat ◽  
Good Standard

Introduction In 2011 The Royal College of Surgeons of England (RCS) set out best practice standards for emergency surgery. This national pilot audit aimed to determine the compliance of otolaryngology departments in England with these published guidelines. Methods A 26-item online questionnaire was devised that encompassed all the 36 best practices as set out by the RCS for ear, nose and throat (ENT) surgery. This was sent to ENT trainees and consultants based at units in England providing emergency ENT services. Results Data were obtained from 55 of the 102 units (response rate: 54%). A mean compliance of 71% was achieved (range: 25–94%). No units achieved all of the best practices. The standards with the highest compliance included 24-hour availability of blood transfusion and haematology opinion for patients with epistaxis, availability of a consultant or ST3/equivalent for immediate discussion of severe post-tonsillectomy bleeding, 24-hour access to blood transfusion for arrest of haemorrhage and immediate theatre access for arrest of haemorrhage. The areas with the lowest compliance were provision of a pathway for angiography/embolisation for epistaxis and provision of an equipped ENT room on a paediatric ward. Conclusions This audit has highlighted that the majority of departments in England are providing a good standard of ENT emergency care. There is room for improvement in certain areas, such as the provision of an embolisation pathway in the context of refractory epistaxis. We hope that this audit will encourage ENT departments to evaluate their current provision of emergency care and institute changes (where necessary) to maintain and improve their practices.

Diffuse acute otitis externa

2020 ◽  
Vol 8 (4) ◽  
pp. 1-5
Author(s):  
Marta Gamrot-Wrzoł ◽  
Natalia Zięba ◽  
Wojciech Ścierski ◽  
Maciej Misiołek
Keyword(s):  
Emergency Room ◽  
Tympanic Membrane ◽  
Hearing Impairment ◽  
Otitis Externa ◽  
Line Treatment ◽  
First Line ◽  
Topical Antibiotic ◽  
Basic Part ◽  
Systemic Antibiotics ◽  
First Line Treatment

Diffuse acute otitis externa (OEAD) is one of the most frequent cases recorded in Otorhinolaryngological emergency room. The main symptoms include: acute otalgia, feeling of ear fullness, itching, hearing impairment, sometimes fever. Otoscopy is the basic part of the diagnosis. First-line treatment involves topical antibiotic eardrops with or without a steroid. Clinicians should prescribe a non-ototoxic preparation when the patient has a known or suspected perforation of the tympanic membrane. Systemic antibiotics should not be prescribed in the first stage of the therapy unless the patient is at risk of severe course of the disease.

scholarly journals Otitis externa in a tertiary hospital in the South-South region of Nigeria: a three year review

2020 ◽  
Vol 6 (12) ◽  
pp. 2173
Author(s):  
Matilda Uju Ibekwe ◽  
Ijeoma Frances Adiekwue
Keyword(s):  
Otitis Externa ◽  
Tertiary Hospital ◽  
Climatic Conditions ◽  
Clinical Feature ◽  
Age Group ◽  
External Ear ◽  
Port Harcourt ◽  
Case Files ◽  
Ear Infections ◽  
Nose And Throat

<p class="abstract"><strong>Background:</strong> Certain climatic conditions tend to favor the development of some ear infections and inflammations especially of the external ear. Otitis externa connotes the inflammation of the external ear and tends to occur commonly. This study is aimed at determining the frequency of occurrence, the type of otitis externa and management of patients seen in an ear nose and throat clinic in Port Harcourt.</p><p class="abstract"><strong>Methods:</strong> A retrospective review of all patients diagnosed with otitis externa within the period of January 2017 to December 2019. The diagnosis was mainly clinical. The clinic registers and patient’s case files were the source of data. Data sought included demographics, clinical features, forms and management of otitis externa. Patients with incomplete data were excluded. Data extracted were then analyzed using IBM statistical package for social sciences (SPSS) 25 version. Results were presented in scientific tables and figures.</p><p class="abstract"><strong>Results:</strong> There were a total number of 1296 of patients with otitis externa. Prevalence of otitis externa in the study was 28.77%. There were 54.2% females and 45.8% males with a ratio of 1.4:1. The age group 21-30 years was the age group most affected; n= 404 (31.2%). Chronic otitis externa was the commonest form seen; 74.8%. Unilateral affectation was commoner, seen in n=1073 (82.8%). Debris in the ear was found to be the commonest clinical feature followed by otalgia; 31.1% and 29.6% respectively. The treatment was mainly medical; comprising systemic and topical broad spectrum antibiotics, topical antifungal and steroidal drops, and aural toileting with wick dressing and analgesics. There were no major complications noted.</p><p class="abstract"><strong>Conclusions:</strong> Otitis externa is common in the ORL clinic and the diagnosis is often based on history and physical examination. The chronic form is the commonest type encountered and treatment is mainly empirical.</p>

Emergency care guidelines

1991 ◽  
Vol 20 (12) ◽  
pp. 1379
Author(s):  
Alexander R Lampone ◽  
E Jackson Allison
Keyword(s):  
Emergency Care ◽  
Care Guidelines
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