PPT-View from the Nosebleed Section: The Role of Tranexamic Acid in the Management of Epistaxis

Rajeev Shah PharmD RajeevShahrwjbhorg PGY1 Pharmacy Resident Robert Wood Johnson University Hospital Somerset RWJ Barnabas Health 1 Disclosures I Rajeev Shah DO NOT have a financial interestarrangement . He a lt h Fire Re a c t iv it y Pe rs o n a l Pro t e c t io n Material Safety Data Sheet Hydrochloric acid MSDS Section 1 Chemical Product and Company Identification Product Name Hydrochloric acid Catalog Codes S Ian Roberts. Tranexamic acid and bleeding. The CRASH-2 trial. Tranexamic acid in traumatic brain injury. Future research . Structure of presentation. Tranexamic acid and bleeding. Activators of . Otologic Disorders. Anatomy. Auricle . Tympanic Membrane. Ear Canal. Mastoid. Inner Ear. Helix. Triangular Fossa. Tragus. Anti-tragus. External auditory Meatus. Lobe. Anti-helical fold. Concha. Embedded Earrings. March 13, 2018. Christopher J Chin, MD, FRCSC. Rhinology, Anterior Skull Base, Head and Neck Oncology. Otolaryngology- Head & Neck Surgery. Christopher.Chin@Dal.Ca. Epistaxis in 2018. 1. Acknowledgements. Consultant otolaryngologist. . . EPISTAXIS . . Publication Date: January 7, 2020. Disclaimer. This clinical practice guideline is not intended as an exhaustive source of guidance for managing patients with epistaxis. Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition and may not provide the only appropriate approach to diagnosing and managing this program of care. As medical knowledge expands, and technology advances, clinical indicators and guidelines are promoted as conditional and provisional proposals of what is recommended under specific conditions but are not absolute. Guidelines are not mandates. These do not and should not purport to be a legal standard of care. The responsible physician, with consideration of all circumstances presented by the individual patient, must determine the appropriate treatment. Adherence to these guidelines will not ensure successful patient outcomes in every situation. The AAO-HNSF emphasizes that these clinical guidelines should not be deemed to include all proper treatment decisions or methods of care, or to exclude other treatment decisions or methods of care reasonably directed to obtaining the same results.. Less is More. Permissive Hypotension and TXA in Hemorrhagic Trauma. Jim Cole, LP, FP-C. EMS and Emergency Management Coordinator. PeaceHealth Oregon Network. jcole3@peacehealth.org. Lee . Weickum. , RN. B-ENT, 2014, 10, 87-92 and Throat and Head and Neck Surgery department in the emergency room (ER). Our hospital is a secondary care centre that includes all disciplines. The hospital is a reference ce Persistent, acute epistaxis for 30-60+ minutes without slowing despite below-listed conservative measures (Afrin, pressure, etc.) Concern for large intra-nasal mass as source of bleeding, visible o Kareem. Epistaxis. is bleeding from the nose ,could be trivial or life –. threatining. .. Vascular anatomy.. -Arterial . supply,. the. nose is supplied by the following arteries.. 1.Branches of external carotid artery.. Dr Amy Brenner. Assistant Professor. London School of Hygiene and Tropical Medicine, UK. TXA is lifesaving. Randomised. placebo-controlled trials of >500 participants. Need alternative routes of administration. in bleeding trauma patients. Here we present the evidence. Bleeding. 45%. CNS . injury. 41%. Organ . failure. 10%. Other. 4%. There are millions of trauma deaths each year. Many patients survive to reach hospital. This slide shows the causes of in-hospital trauma deaths. Download PDF Acid Reflux Solution Kit™ eBook by Barton - a comprehensive step-by-step system designed to treat acid reflux and heartburn issues naturally. Dr. PJ Devereaux on behalf of POISE-3. Investigators. Population Health Research Institute, Hamilton, Canada. Funding: Canadian Institutes of Health Research, . National Health and Medical Research Council (Australia), Research Grant Council (Hong...