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Where should epistaxis education be focused? A comparative study between the public and healthcare workers on knowledge of first aid management methods of epistaxis

Published online by Cambridge University Press:  24 May 2022

S Jamshaid*
Affiliation:
Department of ENT and Head–Neck Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK
N Banhidy
Affiliation:
Department of ENT and Head–Neck Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK
R Ghedia
Affiliation:
Department of ENT and Head–Neck Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK
K Seymour
Affiliation:
Department of ENT and Head–Neck Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK
*
Author for correspondence: Dr Shiraz Jamshaid, Department of ENT and Head–Neck Surgery, Royal London Hospital, Barts Health NHS Trust, Whitechapel Road, London E1 1FR, UK E-mail: shiraz.jamshaid@nhs.net

Abstract

Background

Epistaxis can be life-threatening. Simple first aid management can stem bleeding. This study compared knowledge of first aid management methods of epistaxis between the general public and healthcare workers.

Method

A cross-sectional study of 100 healthcare workers and 103 adult members of the public was conducted at a large London teaching hospital. Respondents completed a survey assessing knowledge on nasal pinching site, head tilt and appropriate adjunct treatment use for first aid management of epistaxis.

Results

Twenty-four per cent and 68 per cent of healthcare workers compared with 25.2 per cent and 37.9 per cent of the public answered correctly on nasal pinching position and head tilt position, respectively, with a statistical difference for head tilt position. Two per cent, 2 per cent and 24 per cent of healthcare workers mentioned ice use on the nose, ice use in the mouth or ice use but not site, respectively, compared with 0 per cent, 0 per cent and 4.9 per cent of the public, with a statistical difference for ice without site.

Conclusion

Healthcare workers and the public lack knowledge on first aid management of epistaxis. Improved education on first aid management is required, targeting healthcare workers and the public.

Type
Main Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr S Jamshaid takes responsibility for the integrity of the content of the paper

References

Barnes, ML, Spielmann, PM, White, PS. Epistaxis: a contemporary evidence based approach. Otolaryngol Clin North Am 2012;45:1005–17CrossRefGoogle ScholarPubMed
Mehta, N, Stevens, K, Smith, M, Williams, R, Ellis, M, Hardman, J et al. National prospective observational study of inpatient management of adults with epistaxis - a National Trainee Research Collaborative delivered investigation. Rhinology 2019;57:180–9Google Scholar
Pope, LER, Hobbs, CGL. Epistaxis: an update on current management. Postgrad Med J 2005;81:309–14CrossRefGoogle ScholarPubMed
Clark, M, Berry, P, Martin, S, Harris, N, Sprecher, D, Olitsky, S et al. Nosebleeds in hereditary hemorrhagic telangiectasia: development of a patient-completed daily eDiary. Laryngoscope Investig Otolaryngol 2018;3:439–45CrossRefGoogle ScholarPubMed
Parajuli, R. Evaluation of etiology and treatment methods for epistaxis: a review at a tertiary care hospital in Central Nepal. Int J Otolaryngol 2015;2015:283854CrossRefGoogle Scholar
National ENT Trainee Research Network. The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis. J Laryngol Otol 2017;131:1142–56CrossRefGoogle Scholar
Tunkel, DE, Anne, S, Payne, SC, Ishman, SL, Rosenfeld, RM, Abramson, PJ et al. Clinical Practice Guideline: Nosebleed (Epistaxis). Otolaryngol Head Neck Surg 2020;162:S138Google ScholarPubMed
Ho, EC, Chan, J-Y. Front-line epistaxis management: let's not forget the basics. J Laryngol Otol 2008;122:696–9CrossRefGoogle Scholar
Kucik, CJ, Clenney, T. Management of epistaxis. Am Fam Physician 2005;71:305–11Google ScholarPubMed
Schlosser, RJ. Epistaxis. N Engl J Med 2009;360:784–9CrossRefGoogle ScholarPubMed
Mulla, O, Prowse, S, Sanders, T, Nix, P. Epistaxis. BMJ 2012;344:e1097CrossRefGoogle ScholarPubMed
Manjaly, JG, Konieczny, K, Holland, NJ. Ice in the mouth for epistaxis. BMJ 2012;344:e2573CrossRefGoogle ScholarPubMed
Porter, M, Marais, J, Tolley, N. The effect of ice packs upon nasal mucosal blood flow. Acta Otolaryngol 1991;111:1122–5CrossRefGoogle ScholarPubMed
Porter, MJ. A comparison between the effect of ice packs on the forehead and ice cubes in the mouth on nasal submucosal temperature. Rhinology 1991;29:1115Google ScholarPubMed
Newton, E, Lasso, A, Petrcich, W, Kilty, SJ. An outcomes analysis of anterior epistaxis management in the emergency department. J Otolaryngol Head Neck Surg 2016;45:24CrossRefGoogle ScholarPubMed
Kitamura, T, Takenaka, Y, Takeda, K, Oya, R, Ashida, N, Shimizu, K et al. Sphenopalatine artery surgery for refractory idiopathic epistaxis: systematic review and meta-analysis. Laryngoscope 2019;129:1731–6CrossRefGoogle ScholarPubMed
Strachan, D, England, J. First-aid treatment of epistaxis--confirmation of widespread ignorance. Postgrad Med J 1998;74:113–14CrossRefGoogle ScholarPubMed
Fishman, JM, Brooks, A, Banfield, G. Patient perceptions of appropriate first aid measures in epistaxis management and the effect of brief interventions. Rhinology 2009;47:330–2Google Scholar
McGarry, GW, Moulton, C. The first aid management of epistaxis by accident and emergency department staff. Arch Emerg Med 1993;10:298300CrossRefGoogle ScholarPubMed
Hakim, N, Mummadi, SM, Jolly, K, Dawson, J, Darr, A. Nurse-led epistaxis management within the emergency department. Br J Nurs 2018;27:41–6CrossRefGoogle ScholarPubMed
Mayer, AW, Smith, KA, Carrie, S. A survey of ENT undergraduate teaching in the UK. J Laryngol Otol 2020;134:553–7CrossRefGoogle ScholarPubMed
Powell, J, Cooles, FAH, Carrie, S, Paleri, V. Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates. J Laryngol Otol 2011;125:896905CrossRefGoogle ScholarPubMed