EM · Procedural & diagnostic ED skills

Eye, ENT and dental procedures in the emergency department

Also known as Ocular irrigation · Slit-lamp examination · Tonometry · Corneal foreign body removal · Nasal packing for epistaxis · Nasal foreign body removal · Dental avulsion replantation · Dry socket management

The ED eye, ENT and dental procedures cluster — slit-lamp and fluorescein staining for the corneal abrasion, tonometry for the acute angle-closure glaucoma screen, corneal foreign-body removal and the rust-ring drill, copious ocular irrigation for the chemical burn (the Morgan lens with 2 L of saline driven to a neutral pH), epistaxis control by silver-nitrate cautery and anterior/posterior packing (the Merocel, the Rapid Rhino, the Foley), nasal foreign-body extraction by the hook, the Katz catheter and positive pressure, the avulsed permanent tooth reimplanted within 30 minutes and stored in milk or saline, and the dry socket irrigated and dressed. The Fellowship candidate must hold each technique, its landmark, its contraindication and its complication at procedural recall.