Background/Objectives: Dermatological complaints are commonly seen in the emergency department (ED) setting and may be attributed to infectious, inflammatory, allergic, hypersensitivity, or traumatic processes, yet few studies have been carried out in Saudi Arabia addressing this topic. This study, therefore, aimed to explore this issue by investigating the most common dermatology-related ED encounters in a large tertiary care center in Riyadh, Saudi Arabia, and estimating the incidence of these encounters. Methods: This was a retrospective cohort study conducted in the ED of King Abdulaziz Medical City, a tertiary care center in Riyadh, Saudi Arabia. Data included all patients with dermatology-related ED visits during the period of 2022–2023. Demographic information including, for example, age and sex was collected. The International Classification of Diseases, 10th Revision (ICD-10) was used for the classification of diagnoses. Results: A total of 11,443 patients were included in the study, with male patients making up the majority (54.9%). The mean age upon diagnosis was 22.4 ± 23.2 years. More than half of the patients (55.3%) were diagnosed during childhood (<18), while proportions of older ages declined gradually. Average monthly presentations ranged from 400 to 560. Rash and non-specific skin eruptions (16%), cellulitis (13.6%), and urticaria (12.2%) were the most frequent dermatological emergencies. Conclusions: This study examined the dermatological conditions commonly seen in the emergency department. The findings highlighted a range of dermatology diseases that are typically seen in the ED. Addressing these prevalent disorders in the future will enhance ER physicians’ understanding and management of such common dermatological problems.

Background/Objectives: Otorhinolaryngologic (ENT) complaints constitute a substantial proportion of emergency department (ED) visits, ranging from minor to life-threatening problems. The patterns and frequency of these presentations in Saudi Arabia remain poorly described. This study, therefore, aimed to address this gap by examining the most frequent ENT-related presentations to the ED at a tertiary center in Riyadh, Saudi Arabia, to identify common diagnoses, describe patient demographics, and evaluate annual trends in ED visits. Methods: A retrospective study of all consecutive ENT-related emergency department visits between January 2019 and December 2024 was conducted at King Abdulaziz Medical City, a tertiary care center in Riyadh, Saudi Arabia. Diagnosis classification used the International Classification of Diseases, 10th Revision (ICD-10). Data on patient demographics, presenting complaints, and hospital admissions were extracted. Descriptive analyses were performed to assess annual trends and common diseases. Results: A total of 22,014 patients were included in the present study, with a slight male (54%) predominance. Across 34,290 ED visits, annual presentations were the highest in 2019 (23.9%) and lowest in 2020 (9.2%). Most patients were discharged from ED (91.9%). The most frequent diagnoses were acute pharyngitis (29.1%), acute tonsillitis (26.2%), and otitis media (22.3%). Conclusions: The study examined the otorhinolaryngology conditions most frequently encountered in an ED setting. The findings highlight a range of ENT disorders that are commonly seen in this setting. Recognizing these prevalent conditions and their patterns can improve ED physicians’ preparedness, triage, and management of patients presenting with ENT emergencies.