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Epistaxis management: current understanding amongst junior doctors.

R Fox¹, R Nash¹, Z-W Liu¹

¹ENT Department,Northwick Park Hospital,Harrow,UK.

The Journal of Laryngology and Otology

|January 20, 2016

Summary

This summary is machine-generated.

Junior doctors often lack the confidence and knowledge to manage nosebleeds (epistaxis), a common emergency. Increased undergraduate otolaryngology training correlates with higher confidence in managing epistaxis.

Keywords:

Curriculum Education Emergency Service Epistaxis Hospital

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Area of Science:

Medical Education
Emergency Medicine
Otolaryngology

Background:

Epistaxis (nosebleeds) is a frequent and potentially critical medical emergency.
Assessing junior doctors' understanding and confidence in managing epistaxis is crucial.

Purpose of the Study:

To evaluate the current level of knowledge and confidence among junior doctors in managing epistaxis.
To identify factors influencing confidence in epistaxis management.

Main Methods:

A cross-sectional survey was administered to foundation year one and two doctors in the UK.
The survey assessed understanding of epistaxis management and procedural confidence.

Main Results:

111 junior doctors participated; average otolaryngology exposure was 8.1 days.
75% lacked confidence in managing epistaxis; 41% proposed incorrect pressure points.
Greater undergraduate otolaryngology exposure (≥2 weeks) significantly increased confidence (p < 0.0001).

Conclusions:

Junior doctors demonstrate deficits in epistaxis management knowledge and confidence, posing patient safety risks.
Confidence in managing epistaxis is linked to the duration of undergraduate otolaryngology training.
Ensuring safe competency in epistaxis management during foundation training is essential.