Facilities and Equipment

A thorough evaluation of the anterior nasal cavity can only be achieved with the correct facilities and equipment which, in one study, was found to be lacking in most UK EDs [7].

Essential items for managing epistaxis are:

  • A strong light source
  • Suction apparatus
  • A combination anaesthetic and vasoconstrictor agent (e.g. lidocaine with phenylephrine)
  • Nasal speculum
  • Method of cautery – either a silver nitrate application stick, or equipment for electrocautery

A typical epistaxis tray is shown in the image below.