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