{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:51:23Z","timestamp":1761742283994},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2006,3,8]],"date-time":"2006-03-08T00:00:00Z","timestamp":1141776000000},"content-version":"unspecified","delay-in-days":797,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:p>This retrospective observational study aimed to establish the outcome for patients packed with a nasal tampon as first-line therapy for epistaxis in Accident &amp; Emergency compared to those packed by ENT. During our study period, 189 admissions were treated with a nasal tampon as first-line therapy; 89 were inserted by ENT and 100 by A&amp;E. A significantly higher number of patients packed by A&amp;E required further treatment to control bleeding (<jats:italic>p<\/jats:italic> = 0.004; 95 per cent CI 7\u201334) than those in the group packed by ENT. A significantly greater proportion from the A&amp;E group required additional cautery alone to control bleeding (<jats:italic>p<\/jats:italic> = 0.005; 95 per cent CI 5\u201330). We suggest that this may be due to inadequate initial assessment and inappropriate first-line therapy in the A&amp;E department. It is recommended that ENT review patients prior to packing, in order to reduce the morbidity associated with multiple treatments.<\/jats:p>","DOI":"10.1258\/002221504322731556","type":"journal-article","created":{"date-parts":[[2004,1,29]],"date-time":"2004-01-29T22:29:46Z","timestamp":1075415386000},"page":"12-14","source":"Crossref","is-referenced-by-count":10,"title":["Is the nasal tampon a suitable treatment for epistaxis in Accident &amp; Emergency? A comparison of outcomes for ENT and A&amp;E packed patients"],"prefix":"10.1017","volume":"118","author":[{"given":"Andrew S.","family":"Evans","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Adamson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2006,3,8]]},"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215104000040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T21:41:45Z","timestamp":1557178905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215104000040\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,1]]}},"alternative-id":["S0022215104000040"],"URL":"https:\/\/doi.org\/10.1258\/002221504322731556","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,1]]}}}