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Who should treat epistaxis?

Published online by Cambridge University Press:  29 June 2007

D. G. John ,
A. I. Alison ,
D. J. A. Scott ,
A. R. McRae  and
M. J. Allen
D. G. John
Affiliation:
Senior House Officer, ENT Department.
A. I. Alison
Affiliation:
Senior House Officer, Accident & Emergency Dept.
D. J. A. Scott
Affiliation:
Senior House Officer, Accident & Emergency Dept.
A. R. McRae
Affiliation:
Registrar, ENT Department.
M. J. Allen*
Affiliation:
Senior Registrar, Accident & Emergency Dept.
*
M. J. Allen, F.R.C.S., Senior Registrar in Accident & Emergency, The Leicester Royal Infirmary, Leicester LE1 5WW.
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Abstract

A prospective study was undertaken of 75 patients complaining of epistaxis who presented to an Accident and Emergency Department.

The patients were placed into four groups according to their presenting features, and various forms of appropriate management applied.

It was found that in the group that had ceased bleeding on presentation, whether or not a bleeding point was visible, there was no benefit obtained by treatment. If the nose was still bleeding on presentation, and the bleeding point was visible, successful management could be obtained by cauterising the bleeding point. This is a treatment that could be carried out by either the General Practitioner or the Accident Department. If the nose was actively bleeding, and the bleeding point could not be seen, then even initially successful treatment by the Accident Department was usually found to be ineffective within forty-eight hours. It is suggested that this group should be referred to an ENT unit on presentation.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 2 , February 1987 , pp. 139 - 142
Copyright
Copyright © JLO (1984) Limited 1987

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References

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