Dec 24, 2019
Contributor: Jared Scott, MD
ED is full of painful procedures. One of the most commonly dreaded
procedures is nasal packing for epistaxis, as it is quite
uncomfortable for the patient.
recent study compared TXA with compression, saline with
compression, and traditional nasal packing for the treatment of
- Hemostasis was achieved in 91% with TXA and
compression, 93% with nasal packing, and 71% with saline and
compression. There was no statistically significant difference
between the packing and TXA groups.
- Furthermore, there was no difference in rates
of rebleeding between the TXA and packing groups. However, 15% of
nasal packing patients demanded removal of the packing due to
- Consider TXA (on gauze or atomized) for your
next patient with epistaxis!
et al.. Evaluating Effectiveness of Nasal Compression With
Tranexamic Acid Compared With Simple Nasal Compression and Merocel
Packing: A Randomized Controlled Trial. Annals of Emergency
Medicine, Volume 74, Issue 1, 72 - 78
Summarized by Will Dewispelaere, MS4 | Edited
by Erik Verzemnieks, MD