Key points
  1. Non-dissolvable intranasal packs in the management of epistaxis typically result in patients being admitted to hospital
  2. Non-dissolvable packs are frequently used in A&E, prior to review by the ENT team
  3. Alternatives to these packs have the potential to reduce epistaxis admissions
  4. Introduction of tranexamic acid-soaked dissolvable packing reduced epistaxis admissions in our department
  5. This intervention has the potential to be introduced more widely and in pre-hospital settings