ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

New Guideline Aims to Promote Consistent Nosebleed Care

February 25, 2020

  • Tweet
  • Email
Print-Friendly Version

The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) Foundation recently published a multidisciplinary clinical practice guideline on best practices in the diagnosis and treatment of nosebleeds.

You Might Also Like

  • Patient Navigators Promote Timely, Efficient Care for Patients with Head and Neck Cancers
  • Sudden Hearing Loss: Clinical Guideline Update
  • New OSA Clinical Guideline
  • Facial Palsy Assessment Methodologies Not Consistent

Nosebleeds affect up to 60% of people in the United States, accounting for o.5% of all ED visits and up to one-third of all otolaryngology-related ED visits, the guidelines note.  The Clinical Practice Guideline: Nosebleed (Epistaxis) (Otolaryngol Head Neck Surg. 2020;162 [1_suppl]:S1-S38) is intended for all clinicians who evaluate and treat nosebleeds, according to the document.

“While nosebleeds are a very common reason for otolaryngology referral, most are treated by primary care providers and emergency department personnel, so a multidisciplinary guideline is ideal to present recommendations for treatment that are actionable by any clinician that treats a patient with a nosebleed,” said the guideline’s lead author, David Tunkel, MD, director of pediatric otolaryngology at Johns Hopkins University School of Medicine in Baltimore.

The practice guideline addresses patients ages three or older with nosebleeds that are severe, persistent, or recurrent and impact a person’s quality of life. It summarizes the evidence behind a broad range of interventions, including educating patients on self-treatment and home remedies, as well as treatments delivered in EDs, medical offices, hospitals, and operating rooms.

Dr. Tunkel encourages clinicians to become familiar with some of the best practices addressed in the guidance, such as the appropriate way to administer first-line treatment using nasal compression. Although he said that nasal compression may be widely used in clinical practice, the panel found that it is often not done effectively or is combined with other ineffective measures.

Dr. Tunkel said the guidance discusses a number of issues clinicians may not be up to date on, including the lack of evidence on a direct causal link between hypertension and nosebleeds. He also underscored the fact that evidence supports administering first-line treatment with compression, packing, and cautery, even in patients on anti-clotting and anti-platelet medications.

The AAO-HNS also published a Plain Language Summary: Nosebleeds (Epistaxis) (Otolaryngol Head Neck Surg. 2020;162:26-32), which is accessible by patients and can be used by clinicians to help educate patients.

—Mary Beth Nierengarten

Filed Under: News, Online Exclusives, Rhinology Tagged With: clilnical guidelines

You Might Also Like:

  • Patient Navigators Promote Timely, Efficient Care for Patients with Head and Neck Cancers
  • Sudden Hearing Loss: Clinical Guideline Update
  • New OSA Clinical Guideline
  • Facial Palsy Assessment Methodologies Not Consistent

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.