Pediatric emergency medicine trisk 815

FIGURE 105.3 Fracture of the upper right central incisor Dentin involvement identified by the yellow coloration within the fracture surface FIGURE 105.4 Pulp exposure can be seen as pink blush within the fracture surfaces CHAPTER 106 ■ ENT TRAUMA MICHELLE L NIESCIERENKO, GI SOO LEE GOALS OF EMERGENCY THERAPY General Goals Trauma to ear, nose, and throat can range from minor to life-threatening, which can be secondary to airway compromise, or in some cases blood loss Beyond the immediate risk, secondary complications can include infection of vital structures or compromise of vasculature secondary to damage The goal of emergency care is immediate recognition of injuries that may result in airway or hemodynamic compromise and prompt involvement of an otolaryngologist or pediatric surgeon Clinicians should balance invasive diagnostic testing with the goal of limiting secondary complications resulting from the injury, which include infection, hematoma, or cosmetic deformity RELATED CHAPTERS Signs and Symptoms Dizziness and Vertigo: Chapter 24 Epistaxis: Chapter 26 Foreign Body: Ingestion and Aspiration: Chapter 32 Hearing Loss: Chapter 34 Injury: Head: Chapter 41 Respiratory Distress: Chapter 71 Medical, Surgical, and Trauma Emergencies Toxicologic Emergencies: Chapter 102 Dental Trauma: Chapter 105 Facial Trauma: Chapter 107 Minor Trauma: Chapter 110 Neurotrauma: Chapter 113 The Children’s Hospital of Philadelphia Clinical Pathway ED Clinical Pathway for Evaluation/Treatment of Acute Head Trauma URL: https://www.chop.edu/clinical-pathway/head-trauma-acuteclinical-pathway Authors: M Zonfrillo, MD; F Nadel, MD; D Corwin, MD; M Mittal, MD; C Jacobstein, MD; J Lavelle, MD; P Scribano, DO, MSCE Posted: December 2010, last revised February 2020 TRAUMA TO THE EAR Ear Foreign Body Goals of Treatment The goal of treatment is to remove the foreign body as early after it is recognized as possible Early removal allows for the easiest possible extraction which reduces risk of trauma to the external canal and tympanic membrane (TM) Removal of the foreign body prevents infection, damage to the TM, and can prevent hearing compromise CLINICAL PEARLS AND PITFALLS Examine the ear with caution to avoid advancing the object further into the canal Be sure to check other orifices for additional foreign bodies Disk batteries should be removed as soon as they are identified to avoid rapid tissue destruction Kill insects in the external auditory canal (EAC) using mineral oil or alcohol before attempting removal Note, if the animal has caused abrasions of the ear canal skin, alcohol can be significantly painful if used Irrigation of biologic foreign bodies can result in swelling of the object and cause them to become more firmly lodged in the auditory canal Current Evidence Foreign objects in the EAC are a common occurrence in children with nearly 10,000 visits annually Children with ADHD or kinetic movement disorders are at ... damage The goal of emergency care is immediate recognition of injuries that may result in airway or hemodynamic compromise and prompt involvement of an otolaryngologist or pediatric surgeon Clinicians... within the fracture surfaces CHAPTER 106 ■ ENT TRAUMA MICHELLE L NIESCIERENKO, GI SOO LEE GOALS OF EMERGENCY THERAPY General Goals Trauma to ear, nose, and throat can range from minor to life-threatening,