{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:38:44Z","timestamp":1784860724471,"version":"3.55.0"},"reference-count":5,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,31]],"date-time":"2007-01-31T00:00:00Z","timestamp":1170201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Rationale\u2002<\/jats:bold> Nasal fractures are a common occurrence in accident and emergency and dealt with by inexperienced senior house officers. This can lead to inappropriate X\u2010rays being performed, no proper documentation of septal haematomas and often no follow\u2010up with a specialist team leading to in some cases complex cosmetic surgery whereas simple manipulation may have sufficed.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> We report an ambispective audit carried out on nasal fracture management in a busy district general hospital over a 6\u2010month period.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> 46 patients were seen 24 in the first 3\u2003months and 22 the next three. 10 had nasal X\u2010ray performed initially on audit. Nine had no documentation of septal haematoma and seven had no follow\u2010up arranged. After appropriate education and the setting up of a department protocol based on best practice, the next cycle was repeated. Two nasal X\u2010rays were performed looking for foreign bodies, all patients had appropriate documentation of septal haematoma and appropriate follow\u2010up.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Appropriate education and implementation of departmental guidelines can result in more effective and efficient use of resources when dealing with nasal fractures in accident and emergency.<\/jats:p>","DOI":"10.1111\/j.1365-2753.2006.00700.x","type":"journal-article","created":{"date-parts":[[2007,2,3]],"date-time":"2007-02-03T03:19:54Z","timestamp":1170472794000},"page":"295-297","source":"Crossref","is-referenced-by-count":7,"title":["Audit of nasal fracture management in accident and emergency in a district general hospital"],"prefix":"10.1111","volume":"13","author":[{"given":"Namit","family":"Agrawal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Brayley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,31]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1108\/14664100010343872"},{"key":"e_1_2_5_3_2","first-page":"162","article-title":"Value of nasal radiograph in nasal trauma management","volume":"25","author":"Li S.","year":"1996","journal-title":"Journal of Otolaryngology"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.10.4.293"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200008000-00003"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200210000-00001"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2753.2006.00700.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2753.2006.00700.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T10:53:12Z","timestamp":1697367192000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2753.2006.00700.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1,31]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1111\/j.1365-2753.2006.00700.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2753.2006.00700.x","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1,31]]}}}