You searched for "emergency"
Anticoagulated patients and epistaxis
1 May 2017
| Suki Ahluwalia
This systematic review looks at the increasing complexity in this space as anti-thrombotics become more sophisticated and move away from the more well understood management of warfarinised patients. After a thorough search, 29 papers were found to be relevant and...
Outpatient closure of CSF leaks: a good idea or a step too far?
1 January 2017
| Christos Georgalas
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ambulatory surgery, anterior skull base, cerebrospinal fluid leak, cerebrospinal fluid rhinorrhea, endoscopic, outpatient, skull-base defect, spontaneous CSF leak
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...
Supporting patients with chronic dizziness and investing in vestibular research
13 September 2021
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Research & Development
The Ménière’s Society is the UK’s leading vestibular charity. Their team is available to help patients access reliable information, source a vestibular specialist or talk to someone who understands what they’re going through.
Hyperbaric oxygen for sudden onset sensorineural hearing loss
1 September 2015
| Sunil Sharma
Idiopathic sudden onset sensorineural hearing loss (SSNHL) is a relatively common presentation to the ENT emergency department, and can have profound effects on patients’ lives. This retrospective study looked at 15 patients who were treated with hyperbaric oxygen after failure...
A soprano’s demise: a cautionary tale for the thyroid surgeon
4 March 2024
| Ruby Sekhon
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ENTA - ENT
Prior to the mid-19th century, thyroid surgery was considered excessively dangerous. The emergence of anaesthetic, antisepsis and improved instrumentation, however, increased its feasibility and frequency in Europe. The unhurried, judiciously antiseptic and haemostatic approach, advocated by Kocher, was popularised and...
Theory of mind and deaf children
Theory of mind relates to a person’s ability to understand the perspectives of others, to be aware that they may differ from one’s own perspectives and the ability to use this knowledge to navigate social situations. Dr Helen Chilton explores...What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?
1 May 2018
| Reza Nouraei, James Richard Shorthouse, James Keegan, Fran Haigh, Kate Heathcote, Anil Patel, Michael Girgis
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ENTA - ENT, ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...
From battlefield to homefront: how the First World War shifted perceptions of deafness
The First World War marked a pivotal moment in the understanding and treatment of hearing loss and deafness. Prior to the war, deafness had been largely attributed to congenital causes. This view was influenced by a negative eugenic Darwinist ideology...Nature or nurture in surgical training
1 November 2014
| Chris Potter
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ENTA - ENT
It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...
2020 Unmasked: Hidden strengths and vulnerabilities laid bare - By Joseph Sinnott
2 April 2021
| Joseph Sinnott
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COVID-19
Masks were everywhere in 2020. The most visible to stop the spread of COVID-19 but others concealed soon-to-be revealed strengths and weaknesses. In April 2020, the UK Prime Minister was taken to intensive care suffering with this new and frightening...
Pre-clinical development of magnetic delivery of therapy to middle and inner ears
1 March 2014
| Benjamin Shapiro, Didier A Depireux, Azeem Sarwar, Alec Nacev, Diego Preciado, Jeffrey Hausfeld
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ENTA - ENT, ENTA - Otology
Why are we developing this technology? A key problem in drug delivery is getting the therapy to the right place in the body, which is especially challenging for targets that are small, deep and are protected or surrounded by anatomical...
Is there evidence to support early discharge of patients with tonsillitis, quinsy and epistaxis?
6 September 2021
| Madhup K Chaurasia
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ENTA - Laryngology / Swallowing / Voice
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Epistaxis, Peritonsillar Abscess, Tonsillitis
The COVID-19 pandemic, with its unprecedented pressures on the NHS, demands changes in the management of common ENT emergencies. In this review article, information has been gleaned from 22 relevant articles on how this can be done. The Portsmouth tonsillitis...