EPISTAXIS (NOSEBLEED)
DESIGNATION OF CONDITION
Epistaxis is a common phenomenon and disturbing to patients when it includes excessive bleeding that they cannot control. Often patients do not know how to control epistaxis. Some forms of epistaxis are not easily controlled with physical maneuvers (10% of posterior bleeds). TXA can be very effective when properly utilized in epistaxis. It is approved for intermediates and paramedics.
PROTOCOL
Prepare TXA by drawing up 100 mg. for each nostril affected.
Discard needle and attach atomizer (MAD).
Have patient blow out clots and mucus from nose.
Spray the TXA into the affected nostril(s).
Apply the epistaxis clamp to the nose in the soft portion just on the edge of the rigid nasal bones.
Provide emesis basin to spit out blood and clots.
TXA can be very effective if given time to work.
If any part of the protocol can’t be adequately performed the procedure can be repeated with additional doses of TXA.
Patients with uncontrolled bleeding after TXA administration should be offered transport to the emergency department.
DESIGNATION OF CONDITION
Epistaxis is a common phenomenon and disturbing to patients when it includes excessive bleeding that they cannot control. Often patients do not know how to control epistaxis. Some forms of epistaxis are not easily controlled with physical maneuvers (10% of posterior bleeds). TXA can be very effective when properly utilized in epistaxis. It is approved for intermediates and paramedics.
PROTOCOL
Prepare TXA by drawing up 100 mg. for each nostril affected.
Discard needle and attach atomizer (MAD).
Have patient blow out clots and mucus from nose.
Spray the TXA into the affected nostril(s).
Apply the epistaxis clamp to the nose in the soft portion just on the edge of the rigid nasal bones.
Provide emesis basin to spit out blood and clots.
TXA can be very effective if given time to work.
If any part of the protocol can’t be adequately performed the procedure can be repeated with additional doses of TXA.
Patients with uncontrolled bleeding after TXA administration should be offered transport to the emergency department.