Episode 38: ENT Emergencies Pearls, Pitfalls, Tips and Tricks

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 19 November 2013

⏱️ 150 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr. Leeor Sommer who runs ENT hands-on workshops and Dr. Maria Ivankovic, lecturer extraordinaire on ENT emergencies discuss ENT Emergencies Pearls, Pitfalls, Tips & Tricks: Dr. Ivankovic's stepwise approach to managing epistaxis including the best local anesthetics, the use of ice to decrease nasal flow, who requires antibiotics, the management of hypertension in epistaxis, tranexamic acid for nose bleeds and managing posterior bleeds, tips for nasal and ear foreign body removal including the use of tissue adhesive, how to pick up and work up the dreaded Malignant Otitis Externa including key diagnostic pearls the best tests, sudden sensorineural hearing loss ('The Bells' Palsy of the Ear') including how to save a patient from losing their hearing, Epiglottitis including diagnostic clues and imaging findings, Pharyngitis work-up and treatment: Do we need to work-up and treat with antibiotics at all? & The Toronto Throat Score, Tips and Tricks for peritonsillar abscess drainage, Hereditary and ACE-inhibitor associated Angioedema presentations and management including the use of C1 Esterase inhibitors.

Transcript

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0:00.0	Welcome to Emergency Medicine Cases.com.
0:10.9	I'm your host, Dr. Anton Helman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.
0:42.8	In this month's episode number 37 on ENT Emergencies, we have with us Dr. Maria Ivankovic and Dr. Leor Summer.
0:48.0	Dr. Ivankovic is an emergency physician at Credit Valley Hospital, Trillium Health Partners.
0:52.1	She's a lecturer at the University of Toronto, an award-winning teacher.
0:56.2	Dr. Summer is an emergency physician at St. Joseph's Health Center and North York General Hospitals in Toronto. He did his undergraduate and residency
1:01.2	training at the University of Toronto, where he now serves as the EM undergraduate electives
1:05.8	representative. He has done extensive teaching at the undergraduate, postgraduate, to name a few,
1:42.2	to the relatively rare but debilitating or life-threatening,
1:46.3	angioedema, malignotitis externa, sudden sensor neural hearing loss, and epiglottitis.
1:53.3	When it comes to the common ENT emergencies, it seems that even something as simple as pharyngitis
1:58.7	is managed slightly differently by different docs depending
2:01.8	on which guidelines they follow or don't follow. When it comes to the rare but debilitating or
2:07.2	life-threatening ENT emergencies, they can easily be missed with devastating consequences. Early
2:13.4	epiglottitis is almost never obvious. Malignantitis externa is something we don't often think
2:19.8	about, and angioedema has a few proven treatments that we rarely use. With the help of Dr. Lear
2:26.3	Summer, an experienced ED doc who runs workshops on E&T emergencies, and Dr. Maria Ivankovic, the best
2:33.1	E&T lecturer I've ever seen. We'll review some of the
2:36.4	guidelines for some of the common ENT emergencies, give you some procedural tips and tricks for
2:41.6	epistaxis, nasal foreign bodies, and peritonsular abscess drainage, give you the newest on management
2:47.5	of angioidema, and give you the tools to help you nail the diagnosis of
2:51.6	the uncommon and easy-to-miss E&T emergencies like epiglottitis and malignantitis
	...

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