• Emerg Med J · Jul 2011

    Review

    Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 2: Routine coagulation testing in adult patients with epistaxis.

    • David Hodgson and Peter Burdett-Smith.
    • Mersey School of Emergency Medicine, UK.
    • Emerg Med J. 2011 Jul 1;28(7):633-4.

    AbstractA short cut review was carried out to establish whether routine testing of coagulation status was necessary in adult patients who present with epistaxis. 156 papers were found using the reported searches, of which 4 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that coagulation studies are only indicated in adults with epistaxis if the history suggests a potential cause for coagulopathy.

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