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International Bulletin of Otorhinolaryngology

Algorithm of Behavior in Patients with Emergency in Otorhinolaryngology

T. Avramov, Sp. Todorov, D. Kostadinov, Tz. Tzolov


Introduction: The preparation of a behavioral algorithm for patients with urgent conditions of otorhinolaryngology became particularly relevant after the publication of Regulation 10 on 04.11.2016 on the approval of the medical standard „Ear –nose -throat diseases“ issued by the Minister of Health and promulgated in the State Gazette, Issue 94 on 25.11.2016.
Material and method: Object of the developed algorithms are ear–nose-throat diseases defined as urgent under item 14.4 of Ordinance 10 they are:
14.4.1 Open and closed traumas of ENT region
14.4.2 Respiratory failure of the inspiratory type
14.4.3 Bleeding by ENT region
14.4.4 Foreign bodies in the airways and esophagus
14.4.5 Intracranial and orbital complications by ENT origin
In order to facilitate our work, we have merged points 14.4.1 and 14.4.3 into one and we have defined them as Open and Closed Trauma and Bleeding of ENT region.
Discussion: The clinical decision in each particular case should include a compex analysis of the patient’s condition and available course of action. Clinical considerations are those that can cause the doctor in an emergency ward to decide what strategy to choose based on the algorithm for each individual group of urgent conditions in otorhinolaryngology.
Conclussion: These guidelines may be revised and corrected if necessary in the light of changes in technology, new data or other aspects of clinical behavior.


urgent conditions, otorhinolaryngology, emergency ward

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Наредба 10 от 04.11.2016 г. за утвърждаване на медицински стандарт „Ушно – носно – гърлени болести“, издадена от министъра на здравеопазването и обнародвана в ДВ, брой 94 от 25.11.2016 г.

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