Welcome to the AIR HEENT Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to head, eyes, ears, nose, and throat emergencies in the Emergency Department. 6 blog posts within the past 12 months (as of March 2021) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 2 AIR and 4 Honorable Mentions. We recommend programs give 3 hours (about 30 minutes per article) of III credit for this module.
In an effort to truly emphasize the highest quality posts, we have 2 subsets of recommended resources. The AIR stamp of approval is awarded only to posts scoring above a strict scoring cut-off of ≥30 points (out of 35 total), based on our scoring instrument. The other subset is for “Honorable Mention” posts. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score.
Interested in taking the HEENT quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account.
|EMCrit||Epiglottitis||Josh Farkas, MD||July 2, 2020||AIR|
|Taming the SRU||Jaw Dislocation||Kristin Meigh, MD||January 13, 2021||AIR|
|EMDocs||Peritonsillar Abscess||Ryan Sumpter, MD and Rachel Bridwell, MD||Mar 7, 2020||HM|
|PedEMMorsels||Open Globe Injuries in Children||Sean Fox, MD||August 14, 2020||HM|
|PedEMMorsels||Nasolacrimal Duct Obstruction||Sean Fox, MD||June 12, 2020||HM|
|St. Emlyn’s||Ludwig’s Angina||Pete Hulme, MBChB||January 9, 2021||HM|
(AIR = Approved Instructional Resource; HM = Honorable Mention)
Thank you to the Society of Academic Emergency Medicine (SAEM) and the Council of EM Residency Directors (CORD) for jointly sponsoring the AIR Series! We are thrilled to partner with both on shaping the future of medical education.
A middle-aged man presented after a motor vehicle collision with a logging truck at 55 miles per hour with low back pain. A computed tomography scan (CT) of the abdomen and pelvis at an outside facility showed a burst fracture of the third lumbar vertebra (L3). The patient had no other complaints. Given the fracture, additional CT imaging was done and the above finding was discovered.
After the incidental finding was found, the patient reported a nail gun accident three years prior where he thought it had just recoiled and struck him in the lip and nose, causing a lip laceration and a minor bloody nose. The patient was seen in the emergency department. The laceration was repaired, and he was discharged without imaging. The patient denied any significant residual symptoms or personality changes. The patient had no idea that a nail had discharged from the gun and lodged in his face and brain.
An 85-year-old female with a past history of hypertension presents with acute right-eye pain, redness, and proptosis/bulging for the past two months that has been worsening over the past two days. She endorses blurry vision that began two days prior. She does not use contacts or glasses. No trauma, headache, or loss of consciousness are reported. She reports a “whooshing” sound in her right ear for two to three months.
Foreign bodies in the ear or the nose can be extremely challenging to remove, especially considering that a majority of them occur in children less than 7 years old who are likely to be uncooperative with exam . In a previous post, we emphasized the need to pick the best tool for the job in order to minimize complications. What happens when you find yourself in an austere environment and the usual tools are not available?
History of Present Illness: A 2-year-old male presents to the emergency department in January after waking up with left-sided facial swelling. Mother states her son has had cough and congestion for the past 4 days for which she has been giving Tylenol and a children’s cough medication. The patient went to bed, awoke the following morning with facial swelling, and was brought to the emergency department.
He has no allergies, history of trauma to the area, or bug bites. The patient is fully vaccinated including the influenza vaccine.