Referral to Emergency Department
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergency medical advice if in a remote region:
- Acute bacterial sinusitis deteriorating despite medical treatment – visual disturbance/signs, neurological signs, frontal swelling/severe unilateral or bilateral headache, eye pain, swelling or abnormal eye movement
- Unilateral facial swelling with or without dental sepsis
- Orbital cellulitis
Immediately contact on-call registrar or service to arrange an immediate ENT assessment (seen within 7 days) for:
To contact the relevant service, please see HealthPathways: Acute ENT Assessment