Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers
Quincy K Tran,1,2 Jeremy Barnett,3 Francis O’Connell,3 Brian D’Anza,4 Ali Pourmand3 1Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; 2Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-12-01
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| Series: | Open Access Emergency Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/nasal-packing-in-the-emergency-department-a-practical-review-for-emerg-peer-reviewed-fulltext-article-OAEM |
| _version_ | 1818742262817882112 |
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| author | Tran QK Barnett J O'Connell F D'Anza B Pourmand A |
| author_facet | Tran QK Barnett J O'Connell F D'Anza B Pourmand A |
| author_sort | Tran QK |
| collection | DOAJ |
| description | Quincy K Tran,1,2 Jeremy Barnett,3 Francis O’Connell,3 Brian D’Anza,4 Ali Pourmand3 1Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; 2Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA; 3Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA; 4Department of Otolaryngology - Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USACorrespondence: Quincy K Tran Email qtran@som.umaryland.eduAbstract: We performed a narrative review of epistaxis management in the emergency department. First, we examined the pathophysiology, the current types of treatment that are available to emergency clinicians. When nasal packing is indicated, we examined the efficacy of nasal packing in addition to other topical treatment such as tranexamic acid and the evidence of prophylactic antibiotics. We detailed current studies involving tranexamic acid and prophylactic antibiotics for nasal packing. Finally, we introduced an epistaxis clinical care pathway, based on current evidence, to aid emergency clinicians with their clinical decision-making processes.Keywords: epistaxis, tranexamic acid, nasal packing, clinical care pathway |
| first_indexed | 2024-12-18T02:09:44Z |
| format | Article |
| id | doaj.art-d8fa08cfbc89477ebd3f7e77de02a278 |
| institution | Directory Open Access Journal |
| issn | 1179-1500 |
| language | English |
| last_indexed | 2024-12-18T02:09:44Z |
| publishDate | 2021-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Emergency Medicine |
| spelling | doaj.art-d8fa08cfbc89477ebd3f7e77de02a2782022-12-21T21:24:30ZengDove Medical PressOpen Access Emergency Medicine1179-15002021-12-01Volume 1352753371154Nasal Packing in the Emergency Department: A Practical Review for Emergency ProvidersTran QKBarnett JO'Connell FD'Anza BPourmand AQuincy K Tran,1,2 Jeremy Barnett,3 Francis O’Connell,3 Brian D’Anza,4 Ali Pourmand3 1Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; 2Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA; 3Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA; 4Department of Otolaryngology - Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USACorrespondence: Quincy K Tran Email qtran@som.umaryland.eduAbstract: We performed a narrative review of epistaxis management in the emergency department. First, we examined the pathophysiology, the current types of treatment that are available to emergency clinicians. When nasal packing is indicated, we examined the efficacy of nasal packing in addition to other topical treatment such as tranexamic acid and the evidence of prophylactic antibiotics. We detailed current studies involving tranexamic acid and prophylactic antibiotics for nasal packing. Finally, we introduced an epistaxis clinical care pathway, based on current evidence, to aid emergency clinicians with their clinical decision-making processes.Keywords: epistaxis, tranexamic acid, nasal packing, clinical care pathwayhttps://www.dovepress.com/nasal-packing-in-the-emergency-department-a-practical-review-for-emerg-peer-reviewed-fulltext-article-OAEMepistaxistranexamic acidnasal packingclinical care pathway |
| spellingShingle | Tran QK Barnett J O'Connell F D'Anza B Pourmand A Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers Open Access Emergency Medicine epistaxis tranexamic acid nasal packing clinical care pathway |
| title | Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers |
| title_full | Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers |
| title_fullStr | Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers |
| title_full_unstemmed | Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers |
| title_short | Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers |
| title_sort | nasal packing in the emergency department a practical review for emergency providers |
| topic | epistaxis tranexamic acid nasal packing clinical care pathway |
| url | https://www.dovepress.com/nasal-packing-in-the-emergency-department-a-practical-review-for-emerg-peer-reviewed-fulltext-article-OAEM |
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