Conclusion
Our study has demonstrated the potential to reduce epistaxis admissions
by including a TXA-soaked dissolvable pack step in the A&E epistaxis
treatment algorithm. In order to achieve this reduction in admissions,
education of A&E clinicians was required and it is important that this
is repeated on a regular basis in order to maintain the results
observed.
The implementation of this treatment algorithm across the UK requires
A&E departments to be well stocked with supplies of
NasoPore® and TXA, and for clinicians to be
comfortable using these. Larger scale studies would be helpful to
determine the feasibility of introducing this pathway in both A&E and
pre-hospital settings, and also to assess patient experience and
satisfaction with dissolvable versus non-dissolvable nasal packing. Next
steps include re-assessment to assess long term adherence and the
post-covid validity.