Using a swimmer’s nose clip in the treatment of epistaxis in the A&amp;E department

Vaghela, Hersad M

doi:10.1016/j.aaen.2005.07.006

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…These clips are similar to previously published swimmer's clips, which have been used in epistaxis [4,5]. However, unlike the swimmer's clips, these clips are more patient-friendly in terms of design.…”

Section: Techniquesupporting

confidence: 64%

Spirometry Nose Clip in the Primary Care Setting

Wong¹,

Teh²

2016

J Gen Pract

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Section: Techniquesupporting

confidence: 64%

Spirometry Nose Clip in the Primary Care Setting

Wong¹,

Teh²

2016

J Gen Pract

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“…Seven additional full-text papers; five narratives [12,14,15,26,27], one editorial [28], and one technique were reviewed as they specifically addressed cryotherapy for epistaxis in the first aid setting (Table 3) [29]. All papers recommend direct pressure to the nostril between the thumb and index finger for five to 30 minutes.…”

Section: Additional Embase Full-text Record Reviewmentioning

confidence: 99%

“…All papers recommend direct pressure to the nostril between the thumb and index finger for five to 30 minutes. Six papers recommend applying cryotherapy to the face or nose (ice packs) or mouth (sucking); however, no evidence for these recommendations was provided [12,14,15,[27][28][29]. Bird suggests that ice application to the nose does little to reduce blood flow; however, the author referenced this suggestion in a textbook citation [26].…”

Section: Additional Embase Full-text Record Reviewmentioning

confidence: 99%

Use of Cryotherapy for Managing Epistaxis in the First Aid Setting: A Scoping Review

Berry¹,

Carlson²,

Singletary³

et al. 2021

Cureus

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Epistaxis, or nosebleed, is bleeding from the nostril(s), nasal cavity, or nasopharynx. Anterior nasal bleeding is the most common location for spontaneous nontraumatic epistaxis and is commonly treated with manual compression to the nasal alae. Cryotherapy is also routinely recommended in conjunction with manual compression in the first aid and ED setting.We performed a scoping review on behalf of the International Liaison Committee on Resuscitation First Aid Task Force guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). We searched Embase, Cochrane, and PubMed databases for published studies, without date restrictions, and we searched the gray literature using Google.com and Google Scholar. The websites of selected resuscitation councils were searched for guidelines relating to the management of epistaxis. References from included studies were hand-searched. Our published and gray literature search identified 1255 and 61,315 records, respectively. After removing duplicates and following selection criteria, we included 21 records from the published literature and 11 records from the gray literature.Our scoping review found that most of the published studies and website documents focused on managing nontraumatic epistaxis in the first aid setting. They provide recommendations for the use of cryotherapy based on expert opinion or indirect evidence extrapolated from cryotherapy-associated changes in nasal submucosal temperature, nasal blood flow, and nasal blood volume in healthy subjects (three studies). We did not identify any prospective, randomized trials comparing the efficacy of cryotherapy as an intervention for nontraumatic epistaxis in the first aid setting. The limited literature identified in this scoping review does not support the development of a systematic review but highlights the need for future research to better understand the role of cryotherapy in the first aid setting.

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“…Anterior pressure is applied to Kiesselbach's plexus (Figure 1) by constant pinching of the nose shut for at least 5 minutes, repeating for another 5 minutes if necessary. Nasal clips can also be used for prolonged pressure without requiring the constant presence of a medical provider (70). Anticoagulation should be reversed if possible.…”

Section: Upper Airway Hemorrhagementioning

confidence: 99%

Otolaryngology in Critical Care

et al. 2018

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Diseases affecting the ear, nose, and throat are prevalent in intensive care settings and often require combined medical and surgical management. Upper airway occlusion can occur as a result of malignant tumor growth, allergic reactions, and bleeding events and may require close monitoring and interventions by intensivists, sometimes necessitating surgical management. With the increased prevalence of immunocompromised patients, aggressive infections of the head and neck likewise require prompt recognition and treatment. In addition, procedure-specific complications of major otolaryngologic procedures can be highly morbid, necessitating vigilant postoperative monitoring. For optimal outcomes, intensivists need a broad understanding of the pathophysiology and management of life-threatening otolaryngologic disease.

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Using a swimmer’s nose clip in the treatment of epistaxis in the A&E department

Cited by 3 publications

References 4 publications

Spirometry Nose Clip in the Primary Care Setting

Spirometry Nose Clip in the Primary Care Setting

Use of Cryotherapy for Managing Epistaxis in the First Aid Setting: A Scoping Review

Otolaryngology in Critical Care

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