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Exploring knowledge of first aid in epistaxis-25 years on.
PLoS One
January 2025
Department of Otolaryngology, Cambridge University Hospitals Trust, Cambridge, United Kingdom.
Background: Epistaxis is the most common acute disorder managed by ENT services. A 1998 survey (Strachan and England) demonstrated widespread ignorance of correct first aid amongst the public with only 11% of respondents applying correct first aid techniques. Here we repeated and expanded the 1998 study to investigate whether understanding of correct first aid in epistaxis amongst the public and emergency department staff has improved in the last 25 years.
View Article and Find Full Text PDFThe Packed Epistaxis Patient: Risks of Rebleeding? A Pilot Study to Inform Outpatient Management of Packed Patients.
Ann Otol Rhinol Laryngol
November 2024
Department of Ear Nose and Throat Surgery, Poole hospital, University Hospitals Dorset, Poole, UK.
Objective: Current common practice for patients with idiopathic epistaxis which requires nasal packing is to admit as an in-patient for overnight observation. Anecdotally, many patients do not re-bleed, so admissions may be unnecessary. Several factors have been suggested to be associated with an increased risk of re-bleeding, such as hypertension, anticoagulant use, and male gender.
View Article and Find Full Text PDFUse of tranexamic acid-soaked NasoPore® in the emergency department, to reduce epistaxis admissions.
Clin Otolaryngol
November 2023
Department of Otolaryngology, University College London Hospitals, UK.
Objectives: The aim of this study was to assess the efficacy of a new emergency department (ED) intervention for the management of non-traumatic, anterior epistaxis in adult patients, aiming to reduce epistaxis admissions.
Design: A new epistaxis pathway was introduced for use by ED practitioners. This was disseminated in ED through an educational campaign by the ear, nose and throat team.
RecENT SHO (Rotating onto ear, nose and throat surgery): How well are new Senior House Officers prepared and supported? A UK-wide multi-centre survey.
Clin Otolaryngol
September 2023
East Suffolk and North Essex NHS Foundation Trust, Essex, UK.
Outpatient Management of Epistaxis During COVID-19 to Reduce Inpatient Stay: A Quality Improvement Project.
Cureus
October 2022
Otolaryngology, James Paget University Hospital, Great Yarmouth, GBR.
Introduction In March 2020, new guidelines allowed patients with epistaxis to be discharged home with nasal packs in situ to reduce the risk of inpatient coronavirus disease 2019 (COVID-19) transmission rates. Our objective is to review how successful these new guidelines have been and whether they could be safely maintained in future practice. Methods This was a retrospective data analysis at a local tertiary ENT referral hospital.
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