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Heymer, Johannes; Schilling, Tobias; Räpple, Daniel
The American journal of emergency medicine, December 2018, 2018-12-00, 20181201, Volume: 36, Issue: 12Journal Article
In severe posterior bleedings, posterior packing in combination with anterior packing might be placed with various techniques, e.g. a nasal tampon or an inflatable balloon catheter. Intranasal application of injectable drugs is used in a variety of medical conditions in emergency medicine, especially in children and uncooperative patients or if venous access is otherwise difficult to obtain. In our opinion, the mucosal atomization device is the ideal device for the application of injectable tranexamic acid in epistaxis on the intensive care unit, if direct pressure or a soaked cotton pledge cannot be applied.
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