Is topical tranexamic acid a better alternative for selected cases of anterior epistaxis management in the Emergency Department?

Hassen GW, Clemons P, Kaplun M, Kalantari H

Am J Emerg Med. 2018 Jan 4. pii: S0735-6757(18)30020-2

ABSTRACT:Epistaxis is a well-known problem that is mostly self-limited. In certain cases it requires packing or cauterization. Tranexamic acid has been tried and has shown promising results. Here we report a case of prolonged epistaxis in a patient on dual anti-platelet agent therapy.