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,...

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Autores principales:	Tran QK, Barnett J, O'Connell F, D'Anza B, Pourmand A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	epistaxis tranexamic acid nasal packing clinical care pathway Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/d8fa08cfbc89477ebd3f7e77de02a278
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spelling	oai:doaj.org-article:d8fa08cfbc89477ebd3f7e77de02a2782021-12-02T19:17:36ZNasal Packing in the Emergency Department: A Practical Review for Emergency Providers1179-1500https://doaj.org/article/d8fa08cfbc89477ebd3f7e77de02a2782021-12-01T00:00:00Zhttps://www.dovepress.com/nasal-packing-in-the-emergency-department-a-practical-review-for-emerg-peer-reviewed-fulltext-article-OAEMhttps://doaj.org/toc/1179-1500Quincy 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 pathwayTran QKBarnett JO'Connell FD'Anza BPourmand ADove Medical Pressarticleepistaxistranexamic acidnasal packingclinical care pathwayMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENOpen Access Emergency Medicine, Vol Volume 13, Pp 527-533 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	epistaxis tranexamic acid nasal packing clinical care pathway Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	epistaxis tranexamic acid nasal packing clinical care pathway Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Tran QK Barnett J O'Connell F D'Anza B Pourmand A Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers
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
format	article
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
title	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_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_sort	nasal packing in the emergency department: a practical review for emergency providers
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d8fa08cfbc89477ebd3f7e77de02a278
work_keys_str_mv	AT tranqk nasalpackingintheemergencydepartmentapracticalreviewforemergencyproviders AT barnettj nasalpackingintheemergencydepartmentapracticalreviewforemergencyproviders AT oconnellf nasalpackingintheemergencydepartmentapracticalreviewforemergencyproviders AT danzab nasalpackingintheemergencydepartmentapracticalreviewforemergencyproviders AT pourmanda nasalpackingintheemergencydepartmentapracticalreviewforemergencyproviders
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Nasal Packing in the Emergency Department: A Practical Review for Emergency Providers

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