The treatments available for nosebleeds (epistaxis).

The request was successful.

Dear East of England Ambulance Service NHS Trust,
Hello, my name is Martin Antoszczak. I am a student paramedic currently performing a literature review as part of my dissertation on the use of topical TXA for acute epistaxis.

As part of my background information, I want to find the common practice in trusts throughout England.

My questions are:

1) For patients who present with epistaxis which is not responding to direct compression and other first aid measures such as nasal compression devices like the RhinoPinch(R), do you have any alternative treatments that can be facilitated by pre-hospital care providers in the field? (For example, but not limited to, any topical pharmacological agents or providers qualified to perform nasal packing or nasal cautery pre-hospitally).

2) If so, what alternative treatments are available, and what is the necessary training/qualification for the pre-hospital care provider to be able to provide them?

Yours faithfully,

Martin Antoszczak

FOI, East of England Ambulance Service NHS Trust

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FOI, East of England Ambulance Service NHS Trust

1 Attachment

Dear Martin

 

Further to your email dated 7th September 2020, please find the Trust's
response below.  Your request has been allocated the following reference:
28829, please could you quote this reference in any future correspondence
with the Trust.

 

1) For patients who present with epistaxis which is not responding to
direct compression and other first aid measures such as nasal compression
devices like the RhinoPinch(R), do you have any alternative treatments
that can be facilitated by pre-hospital care providers in the field? (For
example, but not limited to, any topical pharmacological agents or
providers qualified to perform nasal packing or nasal cautery
pre-hospitally).

No, there are no novel treatment options in place at this time, both in
medical device or pharmacological

 

2) If so, what alternative treatments are available, and what is the
necessary training/qualification for the pre-hospital care provider to be
able to provide them?

N/A

 

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have a
right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [1]www.ico.gov.uk/

 

Under the Accessible Information Standard the Trust is required to ask our
FoI applicants equality and diversity questions. You are under no
obligation; however we would be grateful if you could complete the form
attached and email this back to us.

 

Please do not hesitate to contact me should you require any further
information.

 

Kind regards

 

FoI Officer

East of England Ambulance Service NHS Trust

 

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

 

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