Coulson C, De R
Otolaryngology Specialist Registrar Rotation, West Midlands, UK.
Emerg Med J. 2006 Jul;23(7):523-5. doi: 10.1136/emj.2005.027425.
To determine how nasal injuries are managed by accident and emergency (A&E) consultants and produce a management protocol if the survey indicated a need.
A postal survey of UK A&E consultants.
The response rate was 59%. A great deal of variation was found between departments and clinicians regarding the training of junior A&E staff, the equipment available, the management strategies employed, and the reasons for referral to ENT or maxillofacial departments.
This survey shows that many more nasal injuries could be managed within the A&E setting without referral to ENT or maxillofacial departments. A flow chart of the optimal management of nasal injuries in Accident and Emergency departments is presented.
确定急症室（A&E）顾问如何处理鼻部损伤，并在调查表明有需要时制定管理方案。
对英国急症室顾问进行邮寄调查。
回复率为59%。在初级急症室工作人员的培训、可用设备、采用的管理策略以及转诊至耳鼻喉科或颌面外科的原因方面，各科室和临床医生之间存在很大差异。
本次调查表明，在急症室环境中，无需转诊至耳鼻喉科或颌面外科，更多的鼻部损伤可以得到处理。本文给出了急症室鼻部损伤最佳管理流程图。
