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ENT ORGANIZATION OF ASSISTANCE IN PARTS AND TREATMENT INSTITUTIONS

For diseases of the ear, throat, nose, part doctor should:

- own otorhinopharyngoscopy and methods for diagnosing diseases of ENT organs, conduct research on olfactory, auditory and vestibular functions, evaluate the barofunction of ENT organs;

- be able to provide emergency medical care for injuries and diseases of ENT organs, especially accompanied by life-threatening complications (asphyxiation, bleeding, etc.), including performing a tracheostomy; in case of impossibility of evacuation to a medical institution, be able to open an paratonsillar abscess and puncture the maxillary sinus in acute purulent maxillary sinusitis;

- diagnose and treat in the medical center parts of patients with diseases of the external ear (dermatitis, folliculitis, boils, sulfuric plug, foreign body); acute catarrhal purulent otitis media, frostbite or burns of the outer ear of the first degree; nose (nosebleeds, acute rhinitis and exacerbation of chronic rhinitis, frostbite and a degree I burn); pharynx and pharynx (chronic pharyngitis, laryngitis and tonsillitis).

Patients with acute inflammation of the middle ear, a boil of the external auditory canal, acute pharyngitis, exacerbation of chronic tonsillitis, pharyngitis and laryngitis should be treated in the hospital of the medical center.

Patients with persistent or recurrent bleeding from ENT organs, parotid phlegmon, acute purulent otitis media and exacerbation of chronic purulent otitis media, auricle perichondritis, external ear eczema, acute paranasal sinusitis and exacerbation of chronic sinusitis, are subject to referral to the hospital for treatment. cervical lymphadenitis, prolonged laryngitis, in the presence of aphonia or dysphagia, with ENT tumors of organs, as well as with other diseases that require a hospital A thorough examination and treatment in a specialized department.

Urgent hospitalization is required for patients with severe forms of inflammation of the pharynx, larynx or trachea (acute swelling of the larynx, etc.), infectious granulomas (tuberculosis, scleroma, syphilis), phlegmons of the oral cavity and neck, making breathing difficult, if rapidly increasing suffocation does not require urgent tracheostomy in place; with ear diseases requiring urgent surgical intervention (with mastoiditis, with suspected intracranial complications of purulent otitis media), with severe injuries and wounds, deep frostbite and burns of the nose and ears; with foreign bodies in the ENT organs.

One of the most important ways of preventing ENT diseases in the army is hardening. In order to avoid colds, you need to accustom the body to the transfer of cold. Rational clothing, physical education in the air, rubbing the body with cold water are the best methods that contribute to the hardening of the body.

At the same time, the military doctor should not allow overcooling of military personnel. Bathing should be allowed at the appropriate temperature of water and outside air. When choral singing in the air (in the ranks), it is necessary to monitor compliance with certain rules established by the charter. Singing is not allowed with air humidity below 30%. Air temperature should not be lower than 5? Singing in the cold after a bath or during increased muscular work, as well as in stuffy, hot and calm weather is also considered unacceptable.

In each part, dispensary registration of ENT of patients should be carried out after examination by an otolaryngologist.
People with chronic tonsillitis, chronic purulent inflammation of the paranasal sinuses, impaired nasal breathing (curvature of the nasal septum, hypertrophic rhinitis, adenoids), chronic laryngitis, chronic purulent meso- and epitympanitis are taken into account. Patients are selected for dispensary registration when examining replenishment, on an outpatient appointment, during in-depth examination, during visits of the otolaryngologist in part, etc. Then, a plan for the rehabilitation of patients is drawn up. The unit doctor should take the initiative in sending patients for surgical debridement to the hospital.

The duties of the doctor of the unit include the following tasks: to study the causes of morbidity, especially acute diseases of ENT organs, to carry out preventive measures aimed at reducing colds, to know the diagnosis and treatment of certain ENT diseases, to be able to provide emergency ENT care, keep proper records and reporting, and conduct medical examination patients with chronic diseases of ENT organs and persons lagging behind in combat training due to ENT diseases.

Responsibility for the organization of ENT care in part lies with the senior doctor. He can send one of the garrison doctors to a specialization in otorhinolaryngology. This doctor can deal with diagnostics and medical work in part as a freelance otolaryngologist. It is forbidden to operate patients in parts.

The unit doctor should be well aware of the nomenclature of diseases of ENT organs and be guided by it in the registration of diseases, strictly follow all instructions and medical procedures prescribed by the ENT specialist, and refer the patient to the hospital in cases where an otolaryngologist indicates this. These instructions should be entered in the patient's medical record. Before sending patients to the hospital for planned operations, it is necessary to first carry out dental sanitation, if there are complaints, consult other specialists, if necessary, perform a general blood test, as well as coagulability, duration of bleeding and platelet count. It is advisable to periodically submit persons who are treated on an outpatient basis to a otolaryngologist for a checkup. Patients should be examined for pustular skin diseases, since debridement operations are contraindicated in such cases.

Serious patients requiring urgent treatment are immediately sent by the unit doctor to the hospital without prior consultation of the otolaryngologist.

When referring to a stationary examination for the purpose of examination, exclusion of simulation, dissimulation and aggravation for patients, detailed official and medical characteristics are presented.

Senior otolaryngologists are appointed in military garrisons and navy garrisons, usually ENT doctors at garrison hospitals who provide not only specialized medical care in hospital hospitals, but also monitor the organization of otolaryngological care in a unit or ship.

Tool kits for various ENT operations and ENT organ endoscopy.
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ENT ORGANIZATION OF ASSISTANCE IN PARTS AND TREATMENT INSTITUTIONS

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