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Gunina M.V.

F.I. Inozemtsev City Clinical Hospital of the Moscow Department of Health

Kadyshev V.A.

First aid station named after A.S. Puchkov of the Department of Health of Moscow;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Tsarapkin G.Yu.

Center of Endosurgery and Lithotripsy

Bulychev S.N.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Goncharova N.A.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Voronkova N Yu.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Sapozhnikov A.V.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Optimization of methods of epistaxis treatment in the working conditions of ambulance and emergency medical teams

Authors:

Gunina M.V., Kadyshev V.A., Tsarapkin G.Yu., Bulychev S.N., Goncharova N.A., Voronkova N Yu., Sapozhnikov A.V.

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Journal: Russian Rhinology. 2023;31(4): 287‑291

DOI: 10.17116/rosrino202331041287

Views: 716

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To cite this article:

Gunina MV, Kadyshev VA, Tsarapkin GYu, Bulychev SN, Goncharova NA, Voronkova N Yu, Sapozhnikov AV. Optimization of methods of epistaxis treatment in the working conditions of ambulance and emergency medical teams. Russian Rhinology. 2023;31(4):287‑291. (In Russ.)
https://doi.org/10.17116/rosrino202331041287

Подписка 2025 (Russian Rhinology)
 
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Local hemo­stasis techniques in epistaxis. Russian Rhinology. 2024;(4):308-313

Epistaxis is a common condition among the world’s population that in 6-10% of cases requires medical care. The development of local impact methods to stop epistaxis by specialists of ambulance and emergency medical teams determines the medical advisability and economic efficacy of this care.

OBJECTIVE

To analyze the existing methods of epistaxis stopping and the prospects of their optimization for the medical care provision at the prehospital stage by ambulance and emergency medical teams.

MATERIAL AND METHODS

Domestic and foreign scientific sources presented in PubMed and eLibrary for the last 20 years were analyzed by keywords: gauze tamponade, prehospital stage, nasal tamponade, ambulance medical care, emergency medical care.

RESULTS

The preferred characteristics of anterior nasal tamponade which should be modified have been determined to improve the efficacy of medical care provision for patients with epistaxis at the prehospital stage.

CONCLUSION

The analysis of existing methods for epistaxis stopping allowed to determine the preferred characteristics of anterior nasal tamponade modification to optimize the provision of ambulance and emergency medical care at the prehospital stage. These features are rapid and atraumatic intranasal introduction of a hydrotampon, providing a combined effect of controlled compression on vessels of the nasal cavity mucosa, which does not require special skills and tools for its installation.

Keywords:

gauze tamponade
prehospital stage
nasal tamponade
emergency medical care
emergency medical care

Authors:

Gunina M.V.

F.I. Inozemtsev City Clinical Hospital of the Moscow Department of Health

Kadyshev V.A.

First aid station named after A.S. Puchkov of the Department of Health of Moscow;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Tsarapkin G.Yu.

Center of Endosurgery and Lithotripsy

Bulychev S.N.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Goncharova N.A.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Voronkova N Yu.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Sapozhnikov A.V.

First aid station named after A.S. Puchkov of the Department of Health of Moscow

Received:

18.07.2023

Accepted:

05.10.2023

List of references:

  1. Kriukov AI, Tsarapkin GIu, Kunel’skaia NL, Gorovaia EV, Lavrova AS. Two-cavity (sectional) nasal hydrotamponade after endonasal surgical interventions. Vestnik Otorinolaringologii. 2010;2:48-51. (In Russ.).
  2. Kryukov AI, Plavunov NF, Kadyshev VA, Artem’eva-Karelova AV, Tovmasyan AS, Kishinevskij AE, Gorovaya EV, Gunina MV, Miroshnichenko SA, Vershinina EA, Carapkin GYu. Retrospektivnyj analiz epidemiologicheskih pokazatelej nosovyh krovotechenij v mnogoprofil’nyh stacionarah. Head and neck. 2021;9(1):17-26. (In Russ.).
  3. Shamsidinov BN, Mukhtarova PR, Olimov TKh, Akhrorova ZA. Etiologicheskie aspekty nosovykh krovotecheniy i al’ternativnye sposoby ikh ostanovki. Vestnik Avitsenny. 2020;22(1):28-34. (In Russ.). https://doi.org/10.25005/2074-0581-2020-22-1-28-34
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  5. Plavunov NF, Tsarapkin GYu, Kadyshev VA, Sidorov AM, Khokhlov AA, Gorovaya EV, Kishinevskiy AE, Smirnova EN, Gunina MV. Epidemiological factors and routing features of patients with spontaneous nosebleeds. Russian Rhinology. 2021;29(3):125-133. (In Russ.). https://doi.org/10.17116/rosrino202129031125
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  9. Reis LR, Correia F, Castelhano L, Escada P. Epidemiology of epistaxis in the emergency department of a southern european tertiary care hospital. Acta Otorrinolaringológica Española. 2018;69:331-338.  https://doi.org/10.1016/j.otorri.2017.11.002
  10. Shukla PA, Chan N, Duffis EJ, Eloy JA, Prestigiacomo CJ, Gandhi CD. Current treatment strategies for epistaxis: A multidisciplinary approach. Journal of Neuro Interventional Surgery. 2012;5:151-156.  https://doi.org/10.1136/neurintsurg-2011-010223
  11. Stangerup SE, Thomsen HK. Histological changes in the nasal mucosa after hot-water-irrigation: an animal experimental study. Rhinology. 1996(34):14-17. 
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  13. Kartel AA, Dolina IV, Butsel ACh, Samson AA. Nasal Hemorrhage: methods of local hemostasis. Emergency medicine. 2013;2:174-176. (In Russ.).
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  17. Stangerup S-E, Dommerby H, Siim C, Kemp L, Stage J. New modification of hot-water irrigation in the treatment of posterior epistaxis. Archives of Otolaryngology — Head & Neck Surgery. 1999;125:686.  https://doi.org/10.1001/archotol.125.6.686
  18. Kriukov AI, Karel’skaia NA, Kleshnin DA, Pashkin II. Usage of polyvinylpyrrolidonic films for nasal cavity tamponade. Vestnik Otorinolaringologii. 2006;1:28-30. (In Russ.).
  19. Oltarzhevskaya ND, Kirichenko IM, Khar’kova NA, Frolov SV. The application of the hidrogel-based medicinal compositions for the targeted delivery of medications in rhino- and otosurgery. Vestnik Oto-Rino-Laringologii. 2018;83(5):68-70. (In Russ.). https://doi.org/10.17116/otorino20188305168
  20. Patent RU No. 2621951 C1/08.06.2017 Byul. No. 16. Kryukov AI, Tsarapkin GYu, Gorovaya EV, Chumakov PL, Tovmasyan AS, Kolbanova IG, Gunina MV. Intranasal gauze to stop bleeding from front departments of nasal cavity. Accessed July 28, 2023. (In Russ.). https://patentimages.storage.googleapis.com/a9/fb/82/613978f81d055a/RU2621951C1.pdf

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