A variety of ENT disorders present to the ED on a regular basis and are seen by the ED junior doctors. The majority of these are benign, but a few may be life-threatening conditions that require immediate recognition, rapid assessment, management, and involvement of the ENT specialist, for example, severe epistaxis (especially posterior type), acute epiglottitis, angio-oedema, and Ludwig’s angina. Therefore a basic knowledge and an understanding of the diagnostic features of the common ENT conditions are vital. It would be impossible to cover the large extent of ENT conditions presenting to the ED within a small space, hence this chapter will focus on a few common ENT emergencies that a newly starting ED doctor would have to deal with on a regular basis. There is a wide variety of ENT symptoms depending on the region affected. However, it is important to keep in mind the red flag symptoms that signal urgent help of an ENT specialist is required. Some examples are: sudden unexplained sensorineural deafness, facial nerve palsy, CSF leak, difficulty swallowing with toxic appearance, and drooling saliva. The ENT physical examination is different from other systems as its components are largely inaccessible, particularly in the ED. A good headlight, an auroscope, and correct patient positioning are all important accessories. Although rod lens and flexible fibreoptic scopes for nasoendoscopy and laryngoscopy are routine investigative aids, they are outside the realm of emergency medicine. Most of the diagnosis and management, however, of ENT emergencies can be achieved by following simple rules and using basic equipment. If any patient requires more than an auroscope or standard nasal speculum for a thorough examination, they should be referred to the ENT specialist. All sorts of foreign bodies may become lodged in the ears, nose, or throat. Most of them cause discomfort but are not life-threatening. A foreign body in the throat may have the potential to compromise the airway—a fact to be borne in mind. A lot of them can be removed in the ED, particularly in adults, but children sometimes may require attention of the ENT specialist depending on their age and the capacity to cooperate.