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The ENT Tool Kit: Practical Pearls for Emergency Physicians

The ENT Tool Kit: Practical Pearls for Emergency Physicians

by Hailey Newton | Sep 25, 2025 | Airway, Anesthesiology, ENT, Featured, Grand Round Summaries, Infectious Disease

As an emergency medicine physician, whether you are working in the resuscitation bay or in urgent care, ENT complaints are common and will be encountered in both areas. The goal of this post is to provide you with a practical framework and highlight tips and tricks...
Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial

Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial

by Dominique Trudel, Hans Rosenberg, Debra Eagles | Oct 30, 2022 | ENT, Full Article, Journal Club

Methodology: 4/5 Usefulness: 4/5 Hosseinialhashemi M, et al. Ann Emerg Med. 2022 Sep;80(3):182-188. doi: 10.1016/j.annemergmed.2022.04.010. Question and methods: This was a double blinded RCT single center in a specialized ENT ED in Iran, comparing topical intranasal...
The Use of Tranexamic Acid to Reduce the Need for Nasal Packing in Epistaxis (NoPAC): Randomized Controlled Trial

The Use of Tranexamic Acid to Reduce the Need for Nasal Packing in Epistaxis (NoPAC): Randomized Controlled Trial

by Hans Rosenberg | May 10, 2021 | ENT, Featured, Journal Club, Thrombosis

Methodology: 3/5 Usefulness: 3/5 Reuben A, et al. Ann Emerg Med. 2021 Feb 18:S0196-0644(20)31461-X. Question and Methods: This was a double-blind, randomized controlled trial comparing topical tranexamic acid to placebo in patients presenting to the ED with epistaxis...
Evaluating Effectiveness of Nasal Compression With Tranexamic Acid Compared With Simple Nasal Compression and Merocel Packing: A Randomized Controlled Trial

Evaluating Effectiveness of Nasal Compression With Tranexamic Acid Compared With Simple Nasal Compression and Merocel Packing: A Randomized Controlled Trial

by Hans Rosenberg | Oct 14, 2019 | ENT, Journal Club

Methodology Score: 2.5/5 Usefulness Score: 2.5/5 Akkan S, et al. Ann Emerg Med. 2019 Jul;74(1):72-78 Question and Methods: Prospective RCT comparing compression with saline, compression with tranexamic acid, and nasal packing with merocel for anterior epistaxis....
Sweating the Small Stuff: An Evidence-Based Urgent Care Potpourri

Sweating the Small Stuff: An Evidence-Based Urgent Care Potpourri

by Lauren Fruchter, Robert Suttie | May 31, 2018 | Featured, Grand Round Summaries

Urgent care presents a specific set of challenging clinical questions for the emergency physician. Often, seemingly mundane presentations will leave us questioning whether or not we have managed a case appropriately. Our decision-making can be highly influenced by the...
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