Ambulatory management of common ENT emergencies – what's the evidence?

The global pandemic of coronavirus disease 2019 has necessitated changes to 'usual' ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the m...

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Bibliographic Details
Published in:Journal of laryngology and otology 2021-03, Vol.135 (3), p.191-195
Main Authors: Heining, C J, Amlani, A, Doshi, J
Format: Article
Language:English
Subjects:
Abscesses
Advocacy
Ambulatory care
Ambulatory Care - organization & administration
Analgesics
Antibiotics
Anticoagulants
Blood pressure
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 - transmission
Disease management
Emergencies
Emergency Service, Hospital - organization & administration
Epistaxis
Epistaxis - therapy
First aid
Humans
Literature reviews
Nose
Ostomy
Otolaryngology - organization & administration
Pandemics
Patients
Peritonsillar Abscess - therapy
Pharyngotonsillitis
Referral and Consultation - organization & administration
Tonsillitis
Tonsillitis - therapy
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Summary:The global pandemic of coronavirus disease 2019 has necessitated changes to 'usual' ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the most common causes for emergency referral to the otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis. A literature review was performed, searching all available online databases and resources. The Medical Subject Headings 'tonsillitis', 'pharyngotonsillitis', 'quinsy', 'peritonsillar abscess' and 'epistaxis' were used. Papers discussing out-patient management were reviewed by the authors. Out-patient and ambulatory pathways for tonsillitis and peritonsillar abscess are well described for patients meeting appropriate criteria. Safe discharge of select patients is safe and should be encouraged in the current clinical climate. Safe discharge of patients with epistaxis who have bleeding controlled is also well described. In select cases, tonsillitis, quinsy and epistaxis patients can be safely managed out of hospital, with low re-admission rates.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215121000554