Intranasal TXA for Anterior Epistaxis in the Emergency Department

Inclusion criteria: • Patients 18 years and older with anterior epistaxis Exclusion criteria: * Patients with inability to give consent * Patients without a working telephone number * Patients lacking the mental capacity to make their own decisions * Patients with posterior epistaxis * Epistaxis following major trauma * Patients with known bleeding disorder like hemophilia and thrombocytopenia * Prisoners * Patients hemodynamically unstable * Pregnant patients * Patients with a known allergy to TXA * Patients with a visibly bleeding vessel * Those recently post-op nasal/sinus surgery (within ten days) will also be excluded