Nosebleed (Epistaxis)

Publication Date: January 7, 2020

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

...agnosi...

...1. Applying the Nosebleed CPG: Target Patient...


...2. Risk Factors Associated with NosebleedHa...


.... Epistaxis Illustration: Vascular Supply of...


...gure 1b. Epistaxis Illustration: Vascular Sup...


...re 2a. Digital Compression to the Lo...


...2b. Digital compression to the Lower Third o...


.... Anterior Rhinoscopy of the Nose...


...Anterior Rhinoscopy of the N...


...doscopic View of the Right Nasal Cavity...


...gure 4b. Telangiectasias of th...


...Photograph of Telangiectasias of th...


Treatment

Treatm...

...3. Summary of Evidence-Based Stat...

...tAt the time of initial contact, the cli...

Nasal compressionThe clinician should...

...packingFor patients in whom bleeding...

...ing in patients with suspected increased blee...

...king educationThe clinician should educate the pa...

...clinician should document factors tha...

...r rhinoscopy to identify location of...

...ination using nasal endoscopyThe clinicia...

...nasal cavity and nasopharynx using nasal...

...terventions for identified bleeding siteThe cl...

...When nasal cautery is chosen for tre...

.../or embolization for persistent nose...

...ment of patients using anticoagulation...

...orrhagic telangiectasia (HHT) identificationT...

...ion and preventionThe clinician shoul...

...outcomesThe clinician or designee should docu...


...e 4. Nasal Packing OptionsHaving trou...


Figure 5. Epistaxis Guideline Key Action Statements

...taxis Guideline Key Action Statement...

Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications

...igure 6. Patients on Anticoagulants and/or Anti...

Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga

...agulant and Antiplatelet Medication...

Patient Information

...nt InformationPatient FAQs for Nosebleeds...

Table 6. Interventions for an Identified Anterior Nasal Bleeding Site

...nterventions for an Identified Anterior...