In article <003001c1f2c8$42b7d750$0100a8c0@DADS>, Ray McGlone
<[log in to unmask]> writes
> Does anyone have experience of using the new nasal pack for nose
> bleeds. An animated cartoon demonstrating the technique is
> available on www.rapidrhino.com
I note the patient is shown apparently being discharged home with his
balloon up his nose, taped securely to his cheek. We always used to
discharge patients with old fashioned nasal packs (ends of ribbon gauze
tied securely in the open), for removal on return the next day. No
apparent problems with this policy. A few years ago, we were advised by
ENT bods that all such patients need admission. This struck us back-
woods types as slightly unnecessary, but we complied as the reason
involved patient safety and an aspiration risk.
We have occasionally used nasal tampons or balloons without fancy
haemostatic coatings, +/- packs, with less success at stopping bleeds.
Do others on the list admit all their nose bleeders once packed?
Does it make a difference to admit or not, whether its a ribbon-gauze
pack or a balloon or a nasal tampon?
Dr G Ray
A&E
Sussex
Reply to [log in to unmask]
|