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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Elledge, Ross O.C. and McAleer, Sean 2015. Planning the content of a brief educational course in maxillofacial emergencies for staff in accident and emergency departments: a modified Delphi study. British Journal of Oral and Maxillofacial Surgery, Vol. 53, Issue. 2, p. 109.


    Faistauer, Marina Faistauer, Ângela Rafaeli, S. Grossi and Roithmann, Renato 2009. Clinical outcome of patients with epistaxis treated with nasal packing after hospital discharge. Brazilian Journal of Otorhinolaryngology, Vol. 75, Issue. 6, p. 857.


    ZhengHua, Z Gang, F BingWei, Z and JiaWen, C 2009. Suturing of Little's area of the nasal septum for epistaxis. The Journal of Laryngology & Otology, Vol. 123, Issue. 07, p. 787.


    Ho, E C and Chan, J-Y 2008. Front-line epistaxis management: let's not forget the basics. The Journal of Laryngology & Otology, Vol. 122, Issue. 07,


    Badran, K. Malik, T.H. Belloso, A. and Timms, M.S. 2005. Randomized controlled trial comparing Merocel®and RapidRhino®packing in the management of anterior epistaxis. Clinical Otolaryngology, Vol. 30, Issue. 4, p. 333.


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Is the nasal tampon a suitable treatment for epistaxis in Accident & Emergency? A comparison of outcomes for ENT and A&E packed patients

  • Andrew S. Evans (a1), David Young (a2) and Richard Adamson (a1)
  • DOI: http://dx.doi.org/10.1258/002221504322731556
  • Published online: 01 January 2004
Abstract

This retrospective observational study aimed to establish the outcome for patients packed with a nasal tampon as first-line therapy for epistaxis in Accident & Emergency compared to those packed by ENT. During our study period, 189 admissions were treated with a nasal tampon as first-line therapy; 89 were inserted by ENT and 100 by A&E. A significantly higher number of patients packed by A&E required further treatment to control bleeding (p = 0.004; 95 per cent CI 7–34) than those in the group packed by ENT. A significantly greater proportion from the A&E group required additional cautery alone to control bleeding (p = 0.005; 95 per cent CI 5–30). We suggest that this may be due to inadequate initial assessment and inappropriate first-line therapy in the A&E department. It is recommended that ENT review patients prior to packing, in order to reduce the morbidity associated with multiple treatments.

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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