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*vasoconstriction can include Adrenaline 1 in 10k on ribbon gauze/neuropatties, or lidocaine 5% & phenylephrine 0.5% topical spray (blue box) delivered via nozzle.
+ advice leaflet available on the extranet to print and give to patient.
| Version: | 2.0 |
|---|---|
| Guidelines Lead(s): | Mr Ronald Hettige ENT Consultant |
| Contributor(s): | |
| Lead Director / Chief of Service: | David Gerrard Divisional Medical Director |
| Library check completed: | N/A |
| Ratified at: | ENT Clinical Governance 18/02/2026 WPH ED Clinical Governance 18/02/2026 |
| Date Issued: | 05/03/2026 |
| Review Date: | 01/03/2029 |
| Pharmaceutical dosing advice and formulary compliance checked by: | Nor Syakira Mahfuzh, Lead Pharmacist for Surgery, 05/02/2026 |
| Key words: | Nose bleed ED WPH, unstable patient epistaxis ED |
This guideline has been registered with the Trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt, contact a senior colleague or expert. Caution is advised when using guidelines after the review date.
This guideline is for use in Frimley Health NHS Foundation Trust hospitals only. Any use outside this location will not be supported by the Trust and will be at the risk of the individual using it.
Version History
| Version | Date | Guideline Lead(s) | Status | Comment |
|---|---|---|---|---|
| 1.0 | January 2019 | Mr Ronald Hettige ENT Consultant | Final | Approved by ENT CG Jan 2019 |
| 2.0 | March 2026 | Mr Ronald Hettige ENT Consultant | Final | Scheduled review completed ratified 18/02/2026 ENT & ED WPH |
Related Documents
| Document Type | Document Name |
|---|---|
| FHFT patient information | ENT (Ear, Nose and Throat) Wexham Park Hospital, Nosebleed (Epistaxis). |