The treatments available for nosebleeds (epistaxis).

The request was successful.

Dear North West 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 Enquiries, North West Ambulance Service NHS Trust

2 Attachments

[1]North West Ambulance Service - NHS Trust


Thank you for your request for information which is currently being
reviewed under the terms of the Freedom of Information Act 2000. We will
contact you again with a response to your request within the 20 working
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Madeline Edgar, North West Ambulance Service NHS Trust

North West Ambulance Service

Chorley New Road
Greater Manchester BL1 5DD

Tel: 01204 498306
[mobile number]
Email: mailto:[email address]

Dear Mr Antoszczak,

Thank you for your Freedom of Information request. Your question was forwarded to our Chief Consultant Paramedic who has confirmed that we do not have any alternative treatments for the condition you describe below.

I hope this adequately answers your question.



Maddy Edgar JP
Senior Communications Manager
North West Ambulance Service NHS Trust
Ladybridge Hall
399 Chorley New Road

Tel: 01204 498306
[mobile number]

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