Key result
Anterior nasal packing achieves initial epistaxis control in ~94% of cases, primarily following trauma.
Why the study?
There is little published guidance on managing anticoagulant and antiplatelet therapy in patients admitted with epistaxis, and routine withholding of these medications is common but not evidence-based.
Observational (n=384)
No
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May support anterior packing for initial epistaxis control; leaves open prospective validation of trauma predominance.
Biggs et al. (2013) conducted an observational in Epistaxis (n=384). Standard management of epistaxis was evaluated on Initial control of bleeding. In a retrospective study of 384 patients, trauma was the leading cause of epistaxis (59.9%), and initial bleeding control was successfully achieved in 93.7% of cases, primarily using anterior nasal packing.
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