A study of the knowledge and attitude of physicians in the first aid management of epistaxis in Aseer region, Saudi Arabia
Keywords:Epistaxis, Nasal bleeding, Bleeding per nose, Nasal trauma, Awareness, Attitude, Knowledge
Background: Epistaxis is the common occurrence of bleeding from the nose. It is usually noticed when blood drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, more likely to require medical attention). Sometimes in more severe cases, the blood can come up the nasolacrimal duct and out from the eye.
Methods: A cross-sectional study was conducted in main five hospitals in Aseer region targeting residents dealing with emergency room (ER) cases during the period from 1st July to 31st July, 2018. Data were collected using a pre-structured written questionnaire by the researchers. The questionnaire composed of three parts. First part was for residents’ demographic data. Second part considered epistaxis cases rate and treatment. Third part covered 10 questions for knowledge regarding epistaxis.
Results: A total sample of 165 residents was involved with ages ranged from 27 years to 32 years old and 65.5% of the sampled residents were males. Exact of 47.3% of the residents were ER residents and 24.2% were general practitioners (GPs).
Conclusions: Nearly one out of each four residents had good awareness level regarding epistaxis especially GPs and ER residents. Position of patients with epistaxis and sites of epistaxis were the only items well known by residents.
Morgan DJ, Kellerman R. Epistaxis. Primary Care: Clinics in Office Practice. 2014;41(1):63-73.
Chiu TW, Shaw-Dunn J, McGarry GW. Woodruff's plexus. J Laryngol Otol. 2008;122(10):1074–7.
Killick N, Malik V, Kumar NB. Nasal packing for epistaxis: an evidence-based review. Br J Hosp Med (Lond). 2014;75(3):143-4, 6-7.
Svider P, Arianpour K, Mutchnick S. Management of Epistaxis in Children and Adolescents. Pediatr Clin North Am. 2018;65(3):607–21.
Rains AJH, Ritchie HD (eds). Bailey and Love's Short Practice of Surgery. 19th Edition. Lewis, London; 1984: 567.
Kucik CJ1, Clenney T. Management of Epistaxis. Am Fam Physician. 2005;71(2):305-11.
Mcgarry GW, Moulton C. The first aid management of epistaxis by accident and emergency department staff. Arch Emer Med. 1993;10:298-300.
The University of Western Australia, Safety, Health and Wellbeing, First Aid, 2003. Available at: http://www.safety.uwa.edu.au/incidentsinjuries-emergency/first-aid. Accessed on 28th November 2013.
First Aid Science Advisory Board Evidence Evaluation Conference, hosted by the American Heart Association and the American Red Cross in Dallas, Texas, 2005. Available at: http://circ. ahajournals.org/content/112/22_suppl/III115.full. Accessed on 23rd January 2005.
Frazee TA, Hauser MS. Nonsurgical management of epistaxis. J Oral Maxillofac Surg. 2000;58:419-22.
Almulhim KS, Al Sheikh Mubarak IA, Hussain AS, Rahman MA, Alhaddad MS, Alotaibi NK, et al. Assessment of Knowledge Attitude and Practice of Epistaxis in Saudi Population. Egyptian J Hospital Med. 2017;69(6):2675-9.
Alyahya K, Alsaad S, Alsuliman S, Alsuliman N. Awareness about first aid management of epistaxis among medical students in Kingdom of Saudi Arabia. J Family Med Prim Care. 2019;8(3):914–8.
Albouq N, Aljeraisi T, Arabi S, Neyaz H, Alkhurassi H, Alim B. Knowledge and attitude regarding first aid management of epistaxis among medical specialties students in Al-Madinah, Kingdom of Saudi Arabia. Int J Sci Eng Res. 2017;4:264–7.
Mugwe P, Kamau KJ, Nyambaka OK. Knowledge, attitude and practice in first aid management of epistaxis by accident and emergency clinical staff at Kenyatta National Hospital. East Cent Afr J. 2014;19(1):17-21.