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?
Your request for information may be delayed due to urgent operational
responses to dealing with Public Health priorities. We apologise for any
inconvenience this may cause, we do remain committed to responding to your
request and will respond as soon as we are able. Should our response to
your request breach the statutory timeframe and you remain unhappy with
our response you have the right to complain to the Information
Commissioners Office and you can contact them
Thank you for your email. This acknowledgement has been triggered
electronically and means that your email has been received by the
Information Governance Department. Your request will be dealt with under
the Freedom of Information Act 2000 and it is our intention to respond to
you within twenty working days.
Please note that the volume of FoI requests received by this Trust now
exceeds available resources and given the need for all Trusts to reduce
corporate expenditure to within those targets set by the Carter Review, no
additional capacity is available to support our increasing workload.
Depending on the complexity and volume of your request, this context may
impact on our ability to respond to your request as soon as we would like.
This email transmission and all attached files contain information
intended for the designated individual or entity to whom it is addressed
and may contain information that is proprietary, privileged and/or exempt
from disclosure under applicable law. If you are not the intended
recipient or an employee or agent responsible for delivering this message
to the intended recipient, you are hereby notified that any dissemination,
distribution, copying, or other use of this email or its attachments is
strictly prohibited. If you have received this email in error, please
notify the sender immediately by replying to this message and please
delete the original message without making any copies.
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
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?
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 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
East of England Ambulance Service NHS Trust
Please note our new email address: [East of England Ambulance Service NHS Trust request email]
We work to defend the right to FOI for everyone
Help us protect your right to hold public authorities to account. Donate and support our work.Donate Now