TXA for Epistaxis?

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Swami reviews a paper from EMA May 2022 that discusses the efficacy of topical tranexamic acid in epistaxis. The results are surprising, so check this one out!

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John C. -

Personally, I prefer to use lidocaine with epinephrine. I find it often reduces the bleeding enough for me to see if there is an area I can cauterize, and if not, at least the nostril is partially anesthetized for when I use a Rhinorocket.

John Cunningham, MPAS, CCPA
Physician Assistant

Anand S. -

John - a completely reasonable approach. Lido with epi very underrated

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