Barotrauma

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

  • Acute onset of vertigo or disequilibrium associated with pressure change usually caused by air flight or diving. There may be associated hearing loss, imbalance and tinnitus
  • Middle ear effusion/haemorrhagic tympanic membrane/perforation
  • Nystagmus on pneumatic otoscopy
  • Tuning forks tests may suggest conductive or sensorineural loss

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

Possibility of a perilymph fistula between the inner ear and middle ear must be considered.

For more information please see the Tasmanian Health Pathways website.

Emergency

Refer immediately to ED

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Link to video on how to perform Tuning Forks Test.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment