Epistaxis first-aid management: a needs assessment among healthcare providers

Abstract Purpose To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada. Methods Paper-based multiple-choice questionnaires were distributed to participants. Participant recruitment was conducted in...

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Main Authors: Leigh Sowerby, Chandheeb Rajakumar, Matthew Davis, Brian Rotenberg
Format: Article
Language:English
Published: SAGE Publishing 2021-02-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1186/s40463-020-00485-8
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author Leigh Sowerby
Chandheeb Rajakumar
Matthew Davis
Brian Rotenberg
author_facet Leigh Sowerby
Chandheeb Rajakumar
Matthew Davis
Brian Rotenberg
author_sort Leigh Sowerby
collection DOAJ
description Abstract Purpose To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada. Methods Paper-based multiple-choice questionnaires were distributed to participants. Participant recruitment was conducted in two parts: 1) 28 Emergency Medicine (EM) attending physicians, 21 resident physicians training in the ED, and 26 ED nurses were surveyed while on duty in the ED; 2) 27 family physicians providing walk-in or urgent care and attending a continuing medical education (CME) event were also surveyed. Respondents were asked to identify where to apply compression to the nose and how patients should be positioned during acute epistaxis. Results Regarding where to apply compression, 19% of family physicians, 43% of EM physicians, 24% of residents, and 8% of ED nurses responded correctly. Regarding positioning, all groups responded similarly with 54–62% responding correctly. Twenty-one percent of emergency physicians, 19% of residents, 11% of family physicians, and 4% of nurses responded correctly to both questions. Conclusions Most family physicians, EM attending physicians, ED nurses, and residents could not correctly identify basic first-aid measures for acute epistaxis. This study identifies an area where knowledge is lacking and the potential for improvement in patient management and education. Grapical Abstract
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spelling doaj-art-c152b98f25374e5da9a03e402d5cee4d2025-02-03T10:53:56ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162021-02-015011510.1186/s40463-020-00485-8Epistaxis first-aid management: a needs assessment among healthcare providersLeigh Sowerby0Chandheeb Rajakumar1Matthew Davis2Brian Rotenberg3Department of Otolaryngology – Head & Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Surgery, Division of Otolaryngology – Head & Neck Surgery, University of British ColumbiaDivision of Emergency Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Otolaryngology – Head & Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityAbstract Purpose To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada. Methods Paper-based multiple-choice questionnaires were distributed to participants. Participant recruitment was conducted in two parts: 1) 28 Emergency Medicine (EM) attending physicians, 21 resident physicians training in the ED, and 26 ED nurses were surveyed while on duty in the ED; 2) 27 family physicians providing walk-in or urgent care and attending a continuing medical education (CME) event were also surveyed. Respondents were asked to identify where to apply compression to the nose and how patients should be positioned during acute epistaxis. Results Regarding where to apply compression, 19% of family physicians, 43% of EM physicians, 24% of residents, and 8% of ED nurses responded correctly. Regarding positioning, all groups responded similarly with 54–62% responding correctly. Twenty-one percent of emergency physicians, 19% of residents, 11% of family physicians, and 4% of nurses responded correctly to both questions. Conclusions Most family physicians, EM attending physicians, ED nurses, and residents could not correctly identify basic first-aid measures for acute epistaxis. This study identifies an area where knowledge is lacking and the potential for improvement in patient management and education. Grapical Abstracthttps://doi.org/10.1186/s40463-020-00485-8Urgent careContinuing medical educationFirst aidEpistaxisHealthcare professionalsCompression
spellingShingle Leigh Sowerby
Chandheeb Rajakumar
Matthew Davis
Brian Rotenberg
Epistaxis first-aid management: a needs assessment among healthcare providers
Journal of Otolaryngology - Head and Neck Surgery
Urgent care
Continuing medical education
First aid
Epistaxis
Healthcare professionals
Compression
title Epistaxis first-aid management: a needs assessment among healthcare providers
title_full Epistaxis first-aid management: a needs assessment among healthcare providers
title_fullStr Epistaxis first-aid management: a needs assessment among healthcare providers
title_full_unstemmed Epistaxis first-aid management: a needs assessment among healthcare providers
title_short Epistaxis first-aid management: a needs assessment among healthcare providers
title_sort epistaxis first aid management a needs assessment among healthcare providers
topic Urgent care
Continuing medical education
First aid
Epistaxis
Healthcare professionals
Compression
url https://doi.org/10.1186/s40463-020-00485-8
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