Title
Nosebleed (Epistaxis)
Authoring Organization
Endorsing Organizations
American Academy of Pediatrics
American College of Emergency Physicians
American Rhinologic Society
American Society of Hematology
Society of Interventional Radiology
Society of NeuroInterventional Surgery
Society of Otorhinolaryngology and Head-Neck Nurses
Publication Month/Year
January 7, 2020
Supplemental Implementation Tools
Podcast, Visual Abstract, Visual Abstract, Patient Information, Patient Information, Patient Information, Patient Information, Patient Information, Patient Information, Podcast, Podcast, Slide Set, Quick-Reference Guide, Quick-Reference Guide, Learning Activity, Learning Activity, Learning Activity
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
For the purposes of this guideline, we define the target patient with a nosebleed as a patient with bleeding from the nostril, nasal cavity, or nasopharynx that is sufficient to warrant medical advice or care. This includes bleeding that is severe, persistent, and/or recurrent, as well as bleeding that impacts a patient’s quality of life. Interventions for nosebleeds range from self-treatment and home remedies to more intensive procedural interventions in medical offices, emergency departments, hospitals, and operating rooms.
Target Patient Population
Any individual aged ≥3 years with a nosebleed or history of nosebleed who needs medical treatment or seeks medical advice
Target Provider Population
Clinicians who evaluate and treat patients with nosebleed
Inclusion Criteria
Male, Female, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Childcare center, Emergency care, School
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Treatment, Management, Prevention
Diseases/Conditions (MeSH)
D004844 - Epistaxis
Keywords
epistaxis, nosebleed, nasal packing, nasal cautery, hereditary hemorrhagic telangiectasia (HHT)
Source Citation
Tunkel, D. E., Anne, S., Payne, S. C., Ishman, S. L., Rosenfeld, R. M., Abramson, P. J., … Monjur, T. M. (2020). Clinical Practice Guideline: Nosebleed (Epistaxis). Otolaryngology–Head and Neck Surgery, 162(1_suppl), S1–S38. https://doi.org/10.1177/0194599819890327