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Treatment of epistaxis in the emergency department
  1. D C Behrens
  1. Correspondence to:
 Derriford Hospital
 Plymouth, Devon, UK; dcbehrens{at}

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I read with interest Leong et al’s article on the management of epistaxis1 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, you can form a wick of about 5 …

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