Study design and setting
This was a retrospective data analysis of pre and post implementation of the new guidelines which were introduced in March 2020. The “Acute Epistaxis COVID guideline” (Appendix 1) with “Pack and Home Criteria” (Appendix 2) were distributed amongst A&E staff and ENT clinicians within the hospital by electronic and paper forms. Firstly, we reviewed the pathway prior to the new guidelines over 6 months (Loop 1 - September 2019 to March 2020) and then reviewed 6 months post the new guidelines (Loop 2 - March 2020 to Sept 2020).