title: In the face of increasing subspecialisation, how does the specialty ensure that the management of ENT emergencies is timely, appropriate and safe?
abstract: BACKGROUND
  The field of ENT surgery is one of the most varied specialties, with numerous subspecialties and continuing divergence. With this evolution there comes, however, a risk that specialists become de-skilled in certain areas. In the case of ENT emergencies, this can be particularly dangerous.
  
  
  METHODS
  Current guidance from relevant UK professional membership bodies regarding emergency surgery provision was inspected and a literature search was performed to identify studies relating to management of ENT emergencies in the context of increasing subspecialisation.
  
  
  CONCLUSIONS
  The specialty currently has provisions in place to ensure timely, appropriate and safe management of emergencies, in the form of guidelines and emergency clinics; however, there is scope for improvement of the system.
authors.affiliation: University of Cambridge School of Clinical Medicine,UK.
authors.forename: M J
authors.initials: MJ
authors.lastname: Rouhani
mesh_terms: D019468:Disease Management; D004630:Emergencies; D006801:Humans; D010036:Otolaryngology; D010038:Otorhinolaryngologic Diseases / Q000628:therapy*; D061214:Patient Safety; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D012955:Societies, Medical; D013038:Specialization; D061665:Time-to-Treatment; D006113:United Kingdom
keywords: Emergencies; Otorhinolaryngology; Specialization