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What is the optimal ED workup and management for nasal fractures? Which nasal fractures should be reduced in the ED and why? Which need urgent ENT consultation? Dr. Leeor Sommer answers these and other practice illuminating questions on this EM Quick Hits video... Visit emergencymedicinecases.com for more high quality free open access podcasts, written summaries, videos, quiz vault and blogs. -------------------------------------------------------------- 📺 About This Video Always remember to assess for septal hematoma, which if unrecognized, can result in necrosis to the nasal cartilage, cosmetic deformities, and nasal perforation. Assess the patient from 2 planes (above and in front) to identify subtle deformities/deviation Ask the patient and their entourage whether the nose appears different from baseline. Nasal fracture is a clinical diagnosis. For the majority of isolated nasal injuries, there is little role for imaging as it does not alter management in non-displaced fractures, and deviated cartilage will not appear on X-rays anyway In patients who may require open reduction of a nasal fracture, defer the decision to perform a CT scan to the specialist who will be performing the surgery. Management Regional anesthesia with infraorbital and external nasal nerve block OR procedural sedation Closed reduction of nasal fractures video Please donate to EM Cases to help ensure continued high quality free open access EM education. https://emergencymedicinecases.com/do... Find the EM Cases podcast, the most listened to Emergency Medicine podcast in the world, wherever you listen to your podcasts. https://podcasts.apple.com/ca/podcast... ⚡️ 𝐂𝐎𝐍𝐍𝐄𝐂𝐓 𝐖𝐈𝐓𝐇 𝐔𝐒: Instagram: / emergencymedicinecases Twitter: https://x.com/EMCases Facebook: / emcases BlueSky: https://bsky.app/profile/emcases.bsky... Disclaimer: The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of Emergency Medicine Cases of the Schwarz-Reisman Emergency Medicine Institute. #EmergencyMedicine #BrokenNose #DoctorTips SUBSCRIBE NOW* ------------------------------------------------------------------------------------------------------