The treatments available for nosebleeds (epistaxis).

Currently waiting for a response from East Midlands Ambulance Service NHS Trust, they should respond promptly and normally no later than (details).

Dear East Midlands 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 Midlands Ambulance Service NHS Trust

Dear Martin,
Thank you for your email requesting information.

Your request is being dealt with under the terms of the Freedom of Information Act 2000 and will be answered within 20 working days.

If you have any queries about this process, do not hesitate to contact me.

Kind regards

Freedom of information Team

Mark Clutton
Information Governance Coordinator

East Midlands Ambulance Service NHS Trust
Nottingham Divisional HQ
Beechdale Road
Nottingham
NG8 3LL

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