This study examines the factors associated with recurrent epistaxis visits to the ED and establishes otolaryngology consult algorithm to optimize treatment and minimize unnecessary consultation.

Researchers conducted a retrospective review of 100 patients presenting to the ED for epistaxis requiring ENT consult. Researchers analyzed patient demographics, comorbidities, epistaxis etiology, blood pressure measurements during admission, and treatment methods. They reviewed the patient charts for ED admissions, complications, and procedures.

Patients who required more than one ED visit for epistaxis were more often males, required posterior packing, and had more comorbid hypertension than patients who had one stay. Compared to patients presenting during summer and fall, patients presenting during winter and spring were more often treated for anterior epistaxis. Application of our consult algorithm decreased consultation by 78% and liberated 58.5 hours of ENT resident time.

The study concluded that patients with recurrent epistaxis tended to be male and had more comorbid hypertension. Further prospective studies are warranted to ascertain the factors associated with recurrent epistaxis. Our consult algorithm for epistaxis helped reduce unnecessary ENT consultation and facilitated the reallocation of valuable resident work hours.