Ambulatory epistaxis pathway: the Scottish experience

BACKGROUND: Evidence shows that patients with non-dissolvable intranasal packing can be safely managed without hospital admission. However, admission remains standard practice in most UK centres. This study presents the Scottish experience of an ambulatory pathway for packed epistaxis patients. METHODS: In this Scottish ENT Trainee Research Network project, health boards in Scotland conducted two 'Plan, Do, Study, Act' cycles between July 2024 and August 2025, applying exclusion criteria agreed by an expert panel. In cycle two, exclusion criteria were adapted locally. RESULTS: The pathway had no adverse events in the community. Patients felt safe and satisfied, and none re-presented within 30 days. 6 per cent of patients in the first cycle were ambulated successfully, increasing to 13 per cent in the second cycle. CONCLUSION: Our pan-Scotland experience demonstrated the ambulatory epistaxis pathway is safe. Future intentions are to refine and embed the pathway nationally and collate evidence to inform UK guidelines.

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Publication Details

Journal
The Journal of Laryngology & Otology
Published
2026-11-03
DOI
https://doi.org/10.1017/s0022215126105854
Primary Topic
Vascular Anomalies and Treatments
Type
article
Field-Weighted Citation Impact
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article

Ambulatory epistaxis pathway: the Scottish experience

Hiteshkumar D. Tailor, Peter D. Ross, Ross Hendry, Anna Loroch et al.
The Journal of Laryngology & Otology
Vascular Anomalies and Treatments
article

Ambulatory epistaxis pathway: the Scottish experience

Hiteshkumar D. Tailor, Peter D. Ross, Ross Hendry, Anna Loroch, Alison E Lim, Jimmy Ng, Jia Yin Tan, Kate Hulse, Niall Woodley, Nils Fritsch, Fergus PM Cooper, Catriona M. Douglas, PRAVEEN KUMAR DEVARAJAN, Kerrie McAllister, Chelsea Chan, Jamie Cooper, Peter Arupiri, Morton Draegebo, Esmond Carr, Sam Arman, Mohamed Wafa, Gamellial Aremu, Mohammed Faizan Shah, Nicola MacInnes, Amy Campbell, Alexander Curran
article en

Abstract

BACKGROUND: Evidence shows that patients with non-dissolvable intranasal packing can be safely managed without hospital admission. However, admission remains standard practice in most UK centres. This study presents the Scottish experience of an ambulatory pathway for packed epistaxis patients. METHODS: In this Scottish ENT Trainee Research Network project, health boards in Scotland conducted two 'Plan, Do, Study, Act' cycles between July 2024 and August 2025, applying exclusion criteria agreed by an expert panel. In cycle two, exclusion criteria were adapted locally. RESULTS: The pathway had no adverse events in the community. Patients felt safe and satisfied, and none re-presented within 30 days. 6 per cent of patients in the first cycle were ambulated successfully, increasing to 13 per cent in the second cycle. CONCLUSION: Our pan-Scotland experience demonstrated the ambulatory epistaxis pathway is safe. Future intentions are to refine and embed the pathway nationally and collate evidence to inform UK guidelines.

The Journal of Laryngology & Otology
National Health Service Scotland (GB), NHS Lothian (GB), NHS Ayrshire and Arran (GB), NHS Greater Glasgow and Clyde (GB), NHS Tayside (GB), NHS Lanarkshire (GB), Monklands Hospital (GB), NHS Grampian (GB), NHS Highland (GB), NHS Forth Valley (GB)
Good health and well-being
Openalex Percentile: Top 14%
Vascular Anomalies and Treatments
DOISourceOpenAlex
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