Stopping Nose Bleeding With Tranexamic Acid

A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial.

Zahed R, Moharamzadeh P, Alizadeharasi S, Ghasemi A, Saeedi M.

Am J Emerg Med. 2013 Sep;31(9):1389-92.

A 15-cm piece of cotton pledget soaked in injectable form of tranexamic acid (500 mg in 5 mL) is inserted in the nostril of the bleeding side. It is removed after bleeding arrest is determined by examining the blood-soaked pledgets and the oropharynx (approx. 10 minutes). Works better than adrenaline packs.



Emergency Medicine Kenya Foundation (EMKF) is an NGO supporting emergency healthcare providers across Kenya to save lives by strengthening the emergency healthcare system through capacity building, knowledge development, advocacy and research.