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Presentations of Pediatric Emergencies in a Tertiary Teaching Hospital in North India: An Overview

Amit Kumar Rana1, Shivesh Kumar2, Rohit Sharma1

  • 1Department of Otorhinolaryngology and Head Neck Surgery, SRMS Institute of Medical Sciences, Bareilly, UP India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|February 6, 2023
PubMed

Insights

Pediatric ear, nose, and throat (ENT) emergencies are common, with foreign bodies being the most frequent cause requiring intervention. Educating parents on prevention and recognizing urgent signs is crucial for timely management of these pediatric ENT emergencies.

Area of Science:

  • Pediatric Emergency Medicine
  • Otorhinolaryngology
  • Public Health

Background:

  • Pediatric otorhinolaryngological (ENT) emergencies represent a significant proportion of emergency room visits.
  • The causes and management of ENT issues in children differ from adults, often requiring specialized care.

Purpose of the Study:

  • To analyze the etiology, clinical presentation, and management strategies for pediatric ENT emergencies.
  • To identify the most common causes and outcomes of ENT-related emergency room visits in children.

Main Methods:

  • A retrospective analysis of 452 children (up to 16 years) presenting with ENT complaints.
  • Classification of cases based on etiology: trauma, foreign body, infective, and allergic/miscellaneous.

Main Results:

  • Foreign bodies were the most common cause (61.50%), particularly in the nose (17.26%) and ears (12.17%).
  • Surgical intervention was required for 44.69% of patients, while 24.33% received conservative management.
  • Respiratory distress and ingestion of foreign bodies were also significant presentations.

Conclusions:

  • Foreign bodies are the leading pediatric ENT emergency, often necessitating operative intervention.
  • Specialist ENT care is vital, and parental education on prevention and recognizing warning signs is essential for prompt management.

Keywords:
Conservative managementForeign bodyInfectionsTrauma

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