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No frills management of epistaxis
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  • Published on:
    Treatment of epistaxis in the ED

    Dear Editor,

    I read with interest Leong et al.’s article on the management of epistaxis[1] and I would like to add some tips that I would consider useful.

    In the treatment of ‘active’ anterior epistaxis, merely spraying the anterior cavity with a combination vasoconstrictor and local anaesthetic is often not enough to stem the bleeding. Using cotton wool, one can form a wick of about five cms long, and,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Great article but do all packed noses need admission?

    Dear Editor,

    I congratulate the authors on the excellent step by step guide to management of epistaxis. A useful guide for juniors to use.

    From my experiences in my previous post in Perth, I would disagree that all patients who need packing have to be admitted. Patients who either ourselves or ENT had packed and had no further postnasal bleeding, and were deemed safe for discharge, were sent home to be rev...

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    Conflict of Interest:
    None declared.