The treatments available for nosebleeds (epistaxis).

The request was successful.

Dear London 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 Admin, London Ambulance Service NHS Trust

Thank you for your request for information placed under the Freedom of
Information Act (2000). We will aim to provide you with a response within
20 working days.
 
Many thanks.
Freedom of Information Office London Ambulance Service NHS Trust
 
 
 
 
 
Freedom of Information Office London Ambulance Service NHS Trust

FOI Admin, London Ambulance Service NHS Trust

Dear Mr Antoszczak

Thank you for your Freedom of Information request. We aim to provide you with a response within 20 working days.

If you need to contact us about your request, please have the reference number 4238 to hand.

Many thanks

FoI Admin Team
London Ambulance Service NHS Trust

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FOI Admin, London Ambulance Service NHS Trust

Dear Mr Antoszczak

 

Thank you for your Freedom of Information (FOI) request below.

 

In your request you have asked for:

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).

The Trust does not have any additional treatments for epistaxis. 

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?

Please refer to answer to Q1. 

 

 

If you are dissatisfied with our response you may request an internal
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London Ambulance Service NHS Trust

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London

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Or alternatively, you can email: [1][London Ambulance Service NHS Trust request email]       

Any internal review requests will be dealt with through our Internal
Review procedure.

 

If you are dissatisfied following the Internal Review, you have a right to
appeal to the Information Commissioner using the following contact
details:

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Telephone: 01625 545 700

 

 

Yours sincerely

Bimpe

 

 

FOI Team

London Ambulance Service NHS Trust

 

 

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