{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:37:37Z","timestamp":1761896257212},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2016,1,19]],"date-time":"2016-01-19T00:00:00Z","timestamp":1453161600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2016,3]]},"abstract":"Abstract<\/jats:title>Background:<\/jats:title>Epistaxis is a common and potentially life-threatening emergency. This survey assesses understanding and confidence in epistaxis management amongst current junior doctors.<\/jats:p><\/jats:sec>Method:<\/jats:title>A cross-sectional study was conducted of foundation year one and two doctors based at three National Health Service trusts within a single region of the UK, assessing basic understanding and procedural confidence.<\/jats:p><\/jats:sec>Results:<\/jats:title>A total of 111 foundation doctors completed this survey. The average duration of undergraduate exposure to otolaryngology was 8.1 days. Forty-one per cent of respondents stated that they would apply pressure to the nasal bones to control epistaxis. Seventy-five per cent lacked confidence in their ability to manage epistaxis. Those with two weeks or more of undergraduate exposure to otolaryngology were more confident than those with one week or less of exposure (p<\/jats:italic> < 0.0001).<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>Junior doctors lack understanding and confidence in epistaxis management, with patient safety implications. Confidence is associated with the duration of undergraduate exposure to otolaryngology. A minimum emergency safe competency should be a priority during foundation training if not achieved in UK medical schools.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115003400","type":"journal-article","created":{"date-parts":[[2016,1,19]],"date-time":"2016-01-19T04:30:07Z","timestamp":1453177807000},"page":"252-255","source":"Crossref","is-referenced-by-count":15,"title":["Epistaxis management: current understanding amongst junior doctors"],"prefix":"10.1017","volume":"130","author":[{"given":"R","family":"Fox","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Nash","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z-W","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,1,19]]},"reference":[{"key":"S0022215115003400_ref13","unstructured":"e-lefENT. E-learning for Otolaryngology (ENT-UK). In: http:\/\/www.e-lefent.org.uk [26 November 2015]"},{"key":"S0022215115003400_ref5","unstructured":"Health & Social Care Information Centre. Hospital Episode Statistics, Admitted Patient Care, England - 2013\u201314: Diagnosis. In: http:\/\/www.hscic.gov.uk\/catalogue\/PUB16719 [15 April 2015]"},{"key":"S0022215115003400_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12293"},{"key":"S0022215115003400_ref3","doi-asserted-by":"publisher","DOI":"10.1136\/emj.10.4.298"},{"key":"S0022215115003400_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111003379"},{"key":"S0022215115003400_ref1","unstructured":"Health Education England. Broadening the Foundation Programme. Recommendations and implementation guidance, February 2014. In: http:\/\/hee.nhs.uk\/wp-content\/blogs.dir\/321\/files\/2014\/02\/Broadening_the_Foundation_MAIN_REPORT_V17.pdf [26 November 2015]"},{"key":"S0022215115003400_ref10","unstructured":"Department of Health. Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values. A mandate from the Government to Health Education England: April 2013 to May 2013. In: https:\/\/www.gov.uk\/government\/publications\/health-education-england-mandate [15 March 2015]"},{"key":"S0022215115003400_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/014107687907200802"},{"key":"S0022215115003400_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108002181"},{"key":"S0022215115003400_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002246"},{"key":"S0022215115003400_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/014107687907201008"},{"key":"S0022215115003400_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106001071"},{"key":"S0022215115003400_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/BF02967831"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215115003400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T17:06:03Z","timestamp":1555693563000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215115003400\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,19]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["S0022215115003400"],"URL":"https:\/\/doi.org\/10.1017\/s0022215115003400","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,19]]}}}