Nose Bleeding…evidence based practice

Gauze ribbons, nasal tampons and nasal balloon catheters all appear to be equally effective in controlling epistaxis, however, the nasal tampons and balloon catheters appear to be less time consuming and easier to insert.  Most patients discharged with nasal packing should follow-up with an  ENT physician within 48-72 hours to reduce potential complications. Most patients […]

Tranexamic Acid

TXA is a safe, inexpensive medication that prevents fibrin breakdown.  In traumatic bleeding, it conveys a significant mortality benefit with an impressive NNT for mortality between 7 and 67, depending on injury severity, without apparent serious safety issues.  This benefit is associated with early administration.  TXA should not be given more than three hours after […]

HEENT emergencies

A great summary of HEENT emergencies (Facial and Scalp Lacerations, Mandibular Dislocations, Auricular Lacerations, Auricular Foreign Bodies, Eyelid Lacerations, Epistaxis, Nasal Bridge Fracture Reduction, Nasal Septum Haematoma, Nasal Foreign Body, Peritonsillar Abscess  

Emergency Medicine Kenya Foundation

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