How We Do It: A Portable ENT Tool Kit

摘要

We present a simple method of preparing an on call ENT tool kit box to provide emergency ENT care in Accident and Emergency department when required. In our experience, this method is efficient, economical and ensures that all the basic equipment needed to assess an ENT patient can be put together with ease. This aids in better care for patients especially without easy access to traditional ENT treatment room. Introduction The ability to manage emergency patients presenting to an on call ENT team is dependent on the availability of a treatment area, adequate equipment and availability of nursing staff to assist when required. It is essential that a minimum standard of equipment must be easily available at all times. We describe a simple technique that we have used as an on call ENT tool kit box to provide services in Accident and Emergency. This method has helped in our unit where there are patients especially without easy access to traditional ENT treatment room. Materials And Methods This requires a two layered plastic box measuring 14x6x4 inches and basic instruments as shown in the Figure1 from left to right (1)Foley's catheters, (2)Aural specula,(3)Tongue spatulas, (4)Nasal specula, (5)Portable head light batterypowered,(6)Microforceps,(7)Tuningfork,(8)Otoscope,(9)Laryngealmirror,(10)decongestant and local anaesthetic sprays,(11)Tilley's forceps,(12)Jobson Horne probe,(13)Cautery sticks,(14) Ear wicks, Topical steroid, Antibiotic and Antifungal preparations,(15)tape,(16)Umblicalclip,(17,18,19) Cotton wool, Ear swab and Gauge swabs, Knife ,Syringe and Needle,(20,22)Vaseline gauge and Merocel packs,(21) Scissors (23) Quinsy kit. The end result is a well equipped tool kit Figure1 (ABCDE). This list is not exhaustive and some equipment in your department may differ, but the majority of instrument types covered here are most commonly used across many UK hospitals. The addition of a portable battery powered flexible laryngoscope in a separate case completes the equipment normally required by an ENT surgeon.