I have been engaged in otorhinolaryngology for more than ten years, and I have received many patients and their families who encountered “trouble” in the otorhinolaryngology department in the outpatient and emergency departments, and promptly handled a large number of patients who needed to be admitted to the hospital for surgical treatment due to “trouble”. In the more than ten years of struggling with acute diseases in this specialty, I have summarized the characteristics of acute diseases in this specialty, which are summarized in four words: “urgent, serious, dangerous, and negligent”. The first three words “urgent, serious, and dangerous” are easily understood by the general public, which means that the emergency attacks in this specialty are rampant, and often a few hours or even minutes ago, the life is still alive, but after that, it passes away suddenly, which is breathtaking; and the word “negligent” refers to people’s concern about the “trouble” here. The word “negligent” refers to the fact that people are easily paralyzed and ignore the “trouble” here, and do not pay attention to the seemingly minor symptoms. So, are the emergency cases in otorhinolaryngology really as dangerous as the author has summarized? Let’s look at the following examples from my personal experience. Example 1: Ms. Wang, 55 years old, accidentally swallowed a fish bone during dinner and felt pain in her throat. At that time, she followed her family’s “old method” of swallowing rice balls and vegetables, hoping that the fish spine would slide smoothly into her stomach. After swallowing the rice ball, it seemed that the pain in her throat had subsided and she was secretly happy and wanted to resume her normal diet. However, every time she ate, she always felt a vague pain in her chest. When this discomfort never improved after a few days, Ms. Wang became uncertain and rushed to the hospital. The fluoroscopy revealed that Ms. Wang had a foreign body obstructing her esophagus, and I told her and her family that she needed to undergo esophagoscopic surgery under general anesthesia to remove the foreign body. The operation went smoothly, and it was found that the fish spike did not enter the stomach smoothly because of swallowing the rice ball, but was embedded in the narrow part of the esophagus, and the fish spike had already penetrated the esophageal mucosa. Summary of the case: Foreign bodies in the throat and esophagus are common otorhinolaryngological emergencies, and in everyday life, people do not pay attention to them, or even ignore the possible consequences. In fact, the “old method” of swallowing rice balls and drinking vinegar can not solve the obstruction of foreign bodies, but on the contrary, swallowing rice balls will make the foreign bodies originally in the oropharynx and laryngopharynx become foreign bodies in the esophagus; bring the problems that can be solved in the emergency room to the operating room; turn the original local anesthesia into general anesthesia; and increase the consultation fee originally tens of dollars to thousands of dollars. increased to several thousand dollars. Ms. Wang in this case was lucky, because if the fish spike had punctured the esophagus and affected the heart and large blood vessels adjacent to the esophagus in the chest, fatal hemorrhage could have occurred, resulting in a life-threatening injury. In addition to fish spines, chicken and duck bones, meat bones, metal objects, dentures, etc. are common artifacts that trigger foreign bodies in the esophagus. In most cases, doctors can remove these foreign bodies through the esophagoscope and through the natural pathway into the esophagus in the original way, but in some special cases, it is necessary to remove the foreign body through an incision in the neck or chest, and then the patient pays a greater price. Suggestions: foreign bodies occurring in the oropharynx and laryngopharynx can be subjected to some emetic action in the hope that the foreign body will be vomited out together with the food, and if this does not work, please consult a doctor promptly. Example 2: Qin××, male, 18 months old, presented to the clinic with recurrent cough and fever with lung infection. When he came to the emergency room, the child was still breathing normally. The author was just about to perform an examination and take a medical history when the child’s face suddenly turned red and purple after a violent cough, and in less than a minute, the child’s lips had turned gray. The clinical manifestations suggested that this child had a prolapse of an embedded foreign body on one side of the bronchus, blocking the common airway and causing respiratory obstruction. The author picked up the child and went straight to the operating room and notified the anesthesiologist and nurse on standby to cooperate, and also informed the family of what had happened. After resuscitation, we took out half a peanut from the child’s trachea and the child resumed normal breathing. When we showed the family the half peanut and told them what had caused such a dramatic change in the child, the family came to their senses. It turns out that they used to tease the child with peanuts half a month ago, after the cough, fever in the local hospital pediatric department for the treatment of lung infections, but often just stop the drug, the symptoms recur, the culprit turned out to be it DD half a peanut. Summary of this case: Airway foreign bodies are one of the most dangerous emergencies in otolaryngology, mostly occurring in children who are not yet able to express and communicate well with their parents. Parents also ignore the presence of small particles in their daily lives and often treat their children only as common pneumonia after a cough and fever, repeatedly delaying the condition. The situation that emerged in this case was particularly vicious, as the foreign body that originally stayed in one side of the bronchus was displaced to the common airway by choking and loosening, causing obstruction of the entire airway, and the patient could be resuscitated often in less than 5 minutes or even less, thanks to the author’s clinical response and the timely resuscitation of the entire medical team, otherwise, a life would have fallen because of half a peanut. It should be noted that, in the process of medical treatment, parents often conflict with hospitals and physicians due to similar unexpected events, that the child was in the hospital accident, the hospital caused such serious consequences. I believe that our readers should understand what is right and what is wrong, the time left to the doctor for airway obstruction is too short, the child in this case is lucky that he recovered, but there are still some children although the foreign body was removed and the airway was restored, but the brain will be affected by the lack of oxygen for too long, or its growth and development. Imagine that the foreign body displacement in the airway of the child in this case occurred outside the hospital, the parents may not even know the cause before losing their beloved son. Therefore, the responsibility of DD parents as guardians of their minor children is significant, and such accidents are best avoided. Suggestions: children under three years of age are prohibited from eating peanuts, melon seeds and other granular foods as well as jelly, do not keep such foods at home, and stop others from teasing children with such foods. If a foreign body is accidentally inhaled into the airway, keep the child quiet, reduce crying, and do not pat the child’s back, and seek medical attention promptly. Case 3: Mr. Zhang, 60 years old, visited the clinic for recurrent right nasal bleeding. The patient did not care about the initial nasal bleeding, and only afterwards did he have his right nasal cavity filled at the local county hospital when the bleeding became more frequent. However, whenever his condition improved and he was ready to remove the nasal stuffing, the nasal cavity started to bleed continuously again and had to be stuffed again. This repeatedly tossed and turned, the originally very robust old man carried a heavy burden of thought, became weak, anemic, and blood pressure dropped close to the threshold of shock. After receiving the patient, after a whole-body examination, the author still considered that the rupture of blood vessels in Mr. Zhang’s nasal cavity was the cause of repeated bleeding, and the conventional outpatient nasal caulking often could not clearly deal with the bleeding place, so it was necessary to find the nasal bleeding point through nasal endoscopy, and then focus on breakthrough treatment. After relieving the patient’s ideological concerns (more surgery for nasal bleeding?) and certain supportive treatment, we found through the endoscope in the operating room that there was a very tiny blood vessel pulsating and bleeding from time to time in the hidden olfactory fissure area of his nasal cavity, which was the culprit of repeated bleeding. After treatment, Mr. Zhang finally recovered his life and was discharged from the hospital without any problems. Summary of this case: rhinorrhea is the most common emergency in the changing autumn and winter seasons. Repeated nasal bleeding causes a constant flow of blood from the mouth and nose, which can cause serious psychological burden, stress and tension in patients, and this state can aggravate the secretion of adrenaline in patients, causing an increase in blood pressure, which then aggravates nasal bleeding again. The traditional treatment of nasal cavity stuffing can control the nasal bleeding to some extent, but the pain and discomfort is “hated” by every patient who undergoes this treatment. After excluding systemic diseases (anemia, leukemia, coagulation disorders due to liver and kidney dysfunction, nasal tumors, etc.) that cause nasal bleeding, a more satisfactory treatment is to find the hidden bleeding point under the guidance of nasal endoscope and close it with electrocoagulation or radiofrequency. Suggestion: For the treatment of recurrent rhinorrhea, first of all, it is necessary to control excessive high blood pressure and to exclude some factors of local rhinorrhea caused by systemic diseases. Nasal caulking can treat deal with most of rhinorrhea, but if it does not heal repeatedly, nasal endoscopy can be performed to find hidden bleeding points. When the seasons and weather change, keep the nasal cavity moist, do not dig your nose and blow your nose vigorously, which can reduce the possibility of nasal bleeding. In addition, do not swallow the blood coming out of the nose, but try to vomit it out, otherwise the subsequent vomiting will aggravate the nasal bleeding and general discomfort. The above examples are only representative of many clinical cases of otorhinolaryngologic emergencies. We hope that you can take this as a warning and not to ignore the characteristics of otorhinolaryngologic emergencies and seek medical consultation in a timely manner, so as not to make a big disaster out of a small one.