Nosebleed (Epistaxis)
Key Points
Key Points
- Nosebleed, also known as epistaxis, is a common problem that occurs at some point in at least 60% of people in the United States.
- About 6% of people who experience nosebleeds will seek medical attention.
Diagnosis
...agnosis...
...1. Applying the Nosebleed CPG: Target Patient an...
...Factors Associated with NosebleedHaving tro...
...re 1a. Epistaxis Illustration: Vascular Supply...
...b. Epistaxis Illustration: Vascular Su...
...2a. Digital Compression to the Lower Third of t...
Figure 2b. Digital compression to the Lowe...
...Anterior Rhinoscopy of the Nose...
...Anterior Rhinoscopy of the Nose...
Figure 4a. Endoscopic View of the Right Nasal Cavi...
...Telangiectasias of the Tong...
...ure 4c. Photograph of Telangiectasias...
Treatment
...reatment...
...3. Summary of Evidence-Based Sta...
...tAt the time of initial contact, the clinician...
...onThe clinician should treat active bleeding...
...kingFor patients in whom bleeding pr...
...asal packing in patients with suspected...
...acking educationThe clinician should educa...
...sThe clinician should document factors tha...
...scopy to identify location of bleedingThe cl...
...amination using nasal endoscopyThe clinician shoul...
...nation of nasal cavity and nasopharynx using nasal...
Appropriate interventions for identified bleedin...
...sal cauteryWhen nasal cautery is chosen for trea...
...d/or embolization for persistent nosebleedsThe cli...
...t of patients using anticoagulation...
...hemorrhagic telangiectasia (HHT) identificationT...
...tion and preventionThe clinician s...
...d outcomesThe clinician or designee should...
...Nasal Packing OptionsHaving troubl...
Figure 5. Epistaxis Guideline Key Action Statements
...5. Epistaxis Guideline Key Action Statements...
Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications
...gure 6. Patients on Anticoagulants a...
Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga
...Anticoagulant and Antiplatelet Medicat...
Patient Information
...t InformationPatient FAQs for Nosebleeds...
Table 6. Interventions for an Identified Anterior Nasal Bleeding Site
...nterventions for an Identified Anterior Na...