Providing emergency medical assistance in ENT diseases
Most often, epistaxis localized in anteroinferior of the nasal septum.With a slight bleeding a simple and effective way to stop the bleeding finger is pressing the nose of the wing to the nasal septum.If this proves to be insufficient, in the anterior nasal cavity injected ball of sterile cotton or gauze soaked in a solution of hydrogen peroxide.This need to push the ball through the wing of the nose to the nasal septum 10-15 minutes.If the bleeding is heavy, and the first method does not have the necessary actions carried out by the front tamponade of the nasal cavity.The front is made with the help of tamponade cranked tweezers, nasal forceps or forceps Hartmann.When bleeding from the front of the nose, you can restrict the introduction of a tampon just in front offices.When bleeding from the nose, middle and rear sections and the ineffectiveness of the front tamponade tamponade should be performed throughout the nasal cavity.Long gauze width of 1 - 1.5 cm consistently fill all the
removal of foreign bodies from the nose
Foreign bodies in the nasal cavity are found most often in children who put their confidence and their peers in the nose a variety of items.It is most often beads, peas, cherry pits, seeds, buttons, pieces of paper, etc.Before removal of a foreign body should be thoroughly lubricated nasal mucosa vasoconstrictor and anesthetic solutions and determine the place of location of the foreign body inspection and careful probing.The blunt hook is carried out for a foreign body under the control of, and then, turning hook, movement of "the" push a foreign body.Flat or long and thin foreign bodies (pieces of paper, gauze, matches, nails) can be removed nose forceps or tweezers crankshaft.It is inappropriate and even dangerous to remove foreign bodies spherical form to apply various forceps and tweezers, as this body slip out of them, and often pushed further.
removal of foreign bodies from the throat
Foreign bodies usually fall into the throat along with food (for example, bones, pieces of wood, cereals, etc.).The throat stuck pieces of dentures, items held in the teeth (such as coins, small toys, buttons, nails, pins).Signs of a foreign body throat - stabbing pain in the throat, worse when swallowing, difficulty swallowing, with large foreign bodies - shortness of breath.Removal of foreign bodies from the throat is not much difficulty.From the realm of the middle part of the throat, tonsils and arches sharp plunge a foreign body can be removed by a simple anatomical tweezers or a crank, but better nose pliers with jaws tightly contiguous.We must remember that scratches and abrasions, left after the foreign body, sometimes simulate its presence and long disturbed patients.
removal of foreign bodies from the external auditory canal
external auditory canal Foreign body are very common.Children in the game are introduced into the ear a variety of subjects: grain sunflower, pea, buttons, beads, small wooden objects, cherry stones, etc.Furthermore, the ear canal can enter different insects.Foreign body left lying in the membranous part of the ear canal, and very often does not even for longer stays, no reaction.Foreign bodies with sharp edges or are prone to swelling causes pain due to the pressure on the wall of the ear canal and eardrum.Live foreign bodies give a sense of strong noise and tickling.Before removing the live insect in the ear should drip oil or alcohol to kill it.The safest and in most cases a sufficient way to remove the foreign body is flushing the ear with warm water syringe Janet (detailed mechanism of the procedure described in the section "Washing cerumen").If using washing failed to remove the foreign body, used tools.These include a variety of hooks, spoons, forceps and tweezers.It is necessary to warn against the use of tweezers with solid foreign bodies, since the compression of their legs a foreign body is easy to slip and pushed deeper into the ear canal.The safest tool is a small hook, which is carried out under direct vision of the foreign body, after which the motion "on" is extracted with a foreign body.
podskladochny Acute laryngitis (false croup)
The bulk of the cases of acute laryngitis podskladochnym - children up to 5-8 years.The first symptoms - rise in temperature and cough.The general condition of the child's day is quite satisfactory.At night suddenly starts choking, the child catches a breath, noisy breathing, turning blue.It appears barking cough, sometimes with vomiting and release of viscous mucus.The attack lasts from a few minutes to half an hour, after which the child falls asleep.
treatment. attack is possible to stop, causing a gag reflex to touch spatula or back of the throat causing sneezing, tickling in the nose.The room in which the child should be well ventilated.To humidify the air in the room is recommended to hang wet sheets and boil water in a saucepan.Useful warm drink (milk, mineral water).Assign also warm foot baths, mustard plasters on the calf.If taking the phenomena threatening suffocation, use intubation or tracheostomy.
Acute phlegmonous-membranous (constrictive) laryngotracheobronchitis
characteristic for children up to 7 years.Onset acute with the rapid progression of the process.At untimely treatment of fibrinous film produced in the lumen of the respiratory tract, causing asphyxia, but death may occur in the past by pronounced intoxication with severe lesions of internal organs and brain edema.
Treatment .It is primarily in the intubation (prolonged nasotracheal intubation) or tracheostomy with immediate aspiration of mucus or films, mechanical ventilation, oxygenation.Assign broad-spectrum antibiotics in large doses, corticosteroids.Also shown are inhalation, proteolytic enzymes, and others. If you want to recommend the drugs that stimulate the activity of the heart.
Acute stenosis of the larynx
acute laryngeal stenosis - a narrowing of the lumen of the larynx, occurs within a short time.These states are threatened with death by asphyxiation, so care should be provided immediately.In some severe stenosis choking develops lightning speed, for example, if it enters the larynx of a large foreign body.In other cases (subglottic laryngitis, edema, and others.) Asthma develops acutely, finally, in trauma, tumors, chronic infections possible gradual development of suffocation.
treatment. In any pathological condition of the larynx, dangerous on the development of stenosis are shown urgent hospitalization and measures to prevent asphyxia.These include: the restoration of the lumen of the larynx (the removal of foreign bodies, decongestants activities intubation if necessary), the elimination of hypoxia (inhalation of oxygen with carbon dioxide to irritation of the respiratory center);distracting, soothing and cardiovascular drugs.In the absence of the effect of these measures produce a tracheostomy.