RESUMO
Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant otitis externa, mastoiditis and petrositis, traumatic ruptured tympanic membrane, cerumen impactions, and foreign bodies in the ears.
Assuntos
Dor de Orelha/diagnóstico , Antibacterianos/uso terapêutico , Orelha Interna , Dor de Orelha/etiologia , Dor de Orelha/terapia , Emergências , Serviço Hospitalar de Emergência , Corpos Estranhos/diagnóstico , Corpos Estranhos/terapia , Humanos , Otite Média/diagnóstico , Otite Média/tratamento farmacológico , Otite Média/terapiaRESUMO
Immediate access to existing clinical information is inadequate in current medical practice; lack of existing information causes or contributes to many classes of medical error, including diagnostic and treatment error. A review of the literature finds ample evidence to support a description of the problems caused by data that are missing or unavailable but little evidence to support one proposed solution over another. A primary recommendation of the Consensus Committee is that hospitals and departments should adopt systems that provide fast, ubiquitous, and unified access to all types of existing data. Additional recommendations cover a variety of related functions and operational concepts, from backups and biosurveillance to speed, training, and usability.