{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:54:57Z","timestamp":1764053697482},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121000554_sec_a1\"><jats:title>Objectives<\/jats:title><jats:p>The global pandemic of coronavirus disease 2019 has necessitated changes to \u2018usual\u2019 ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the most common causes for emergency referral to the otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000554_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A literature review was performed, searching all available online databases and resources. The Medical Subject Headings \u2018tonsillitis\u2019, \u2018pharyngotonsillitis\u2019, \u2018quinsy\u2019, \u2018peritonsillar abscess\u2019 and \u2018epistaxis\u2019 were used. Papers discussing out-patient management were reviewed by the authors.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000554_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Out-patient and ambulatory pathways for tonsillitis and peritonsillar abscess are well described for patients meeting appropriate criteria. Safe discharge of select patients is safe and should be encouraged in the current clinical climate. Safe discharge of patients with epistaxis who have bleeding controlled is also well described.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000554_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>In select cases, tonsillitis, quinsy and epistaxis patients can be safely managed out of hospital, with low re-admission rates.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121000554","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T04:30:46Z","timestamp":1613536246000},"page":"191-195","source":"Crossref","is-referenced-by-count":5,"title":["Ambulatory management of common ENT emergencies \u2013 what's the evidence?"],"prefix":"10.1017","volume":"135","author":[{"given":"C J","family":"Heining","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Amlani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Doshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"S0022215121000554_ref13","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508002-00001"},{"key":"S0022215121000554_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12162"},{"key":"S0022215121000554_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2014.06.012"},{"key":"S0022215121000554_ref16","first-page":"1131","article-title":"Epistaxis 2016: national audit of management","volume":"131","year":"2016","journal-title":"J Laryngol Otol"},{"key":"S0022215121000554_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2007.01575.x"},{"key":"S0022215121000554_ref2","unstructured":"2 ENT UK. 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