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Management of nasal injuries by UK accident and emergency consultants: a questionnaire survey
  1. C Coulson1,
  2. R De2
  1. 1Otolaryngology Specialist Registrar Rotation, West Midlands, UK
  2. 2City General Hospital, Stoke-on-Trent, Staffordshire, UK
  1. Correspondence to:
 C Coulson
 45 Greenfield Road, Harborne, Birmingham, B17 0EP; chriscoulson{at}


Objectives: 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.

Method: A postal survey of UK A&E consultants.

Results: 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.

Conclusions: 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.

  • nasal injury
  • nose
  • fracture
  • management

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  • Competing interests: none declared