CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Epistaxis - Management
What secondary care treatments are available for epistaxis?
- Secondary care treatments for acute epistaxis include:
- Resuscitation — this may include transfusion to replace blood volume and provide coagulation factors.
- Formal packing (may be under general anaesthetic).
- Endoscopic assessment and electrocautery.
- Examination under anaesthesia and surgical intervention (such as diathermy, septal surgery, arterial ligation, laser treatment).
- Radiological arterial embolization.
- Intravenous or oral tranexamic acid.
© NHS Institute for Innovation and Improvement