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
...iagnosi...
.... Applying the Nosebleed CPG: Targe...
.... Risk Factors Associated with Nosebl...
...taxis Illustration: Vascular Supply of the Na...
...gure 1b. Epistaxis Illustration: Vascula...
...a. Digital Compression to the Lower T...
...re 2b. Digital compression to the Lower Thi...
...ure 3a. Anterior Rhinoscopy...
...Anterior Rhinoscopy of the Nose...
...ure 4a. Endoscopic View of the Righ...
...igure 4b. Telangiectasias of...
...Photograph of Telangiectasias of the Hard P...
Treatment
...atment...
Table 3. Summary of Evidence-Based State...
...anagementAt the time of initial contact, the...
...al compressionThe clinician should treat active...
...For patients in whom bleeding precludes ide...
...n patients with suspected increased bleedin...
...asal packing educationThe clinician sho...
...sThe clinician should document factors that...
...inoscopy to identify location of bleedingThe cl...
...n using nasal endoscopyThe clinician should perfor...
...ation of nasal cavity and nasopharynx us...
...iate interventions for identified bleedin...
...teryWhen nasal cautery is chosen for trea...
...embolization for persistent nosebleeds...
...patients using anticoagulation and...
Hereditary hemorrhagic telangiectasia (HHT) ident...
...on and preventionThe clinician should educate p...
...esThe clinician or designee should document the...
...Packing OptionsHaving trouble viewing table?...
Figure 5. Epistaxis Guideline Key Action Statements
.... Epistaxis Guideline Key Action Statements...
Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications
...ients on Anticoagulants and/or Antiplate...
Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga
...ticoagulant and Antiplatelet Medications and App...
Patient Information
...rmationPatient FAQs for Nosebleeds...
Table 6. Interventions for an Identified Anterior Nasal Bleeding Site
...ventions for an Identified Anterior Nasal Bleed...