740 Improving the Management of Epistaxis in Clinical Practice

Abstract Aim Improving the standard of epistaxis management in Ayrshire & Arran. Method A survey was distributed to doctors assessing their familiarity with assessment and management. Working ENT department, a teaching programme then developed aimed at improving skill nasal packing, cautery first aid, based on local guidelines. After session, all participants filled post-education questionnaire results collated. Results The collected information throughout Arran, from 21 across 10 different specialities, ranging Foundation, Clinical Fellows, Core Trainee's. Using rating one five, least confident most respectively. 95% chose between three when asked about independently managing epistaxis, which significantly reduced 0%. 52% ‘least confident’ packing cauterisation, reducing In addition, 40% were unfamiliar options for increased 100%. Conclusions Epistaxis is common acute presentations. 86% cases will be initially managed by junior using aid management, or cauterisation. This not taught as undergraduate postgraduate education. Currently, there are no nationally accepted guidelines its regardless high presentation, readmission, mortality rate. There an observable gap education, crucial considering majority its’ handled doctors. We have seen increase confidence condition merits running this programme.