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
Diagnosis
...e 1. Applying the Nosebleed CPG: T...
...ctors Associated with NosebleedHaving trouble vie...
...staxis Illustration: Vascular Supply of...
...ure 1b. Epistaxis Illustration: Vas...
...2a. Digital Compression to the Lower Thi...
...Digital compression to the Lower Third o...
...re 3a. Anterior Rhinoscopy of the N...
...Anterior Rhinoscopy of the Nose...
...e 4a. Endoscopic View of the Right Nasal Cavit...
...b. Telangiectasias of the T...
...e 4c. Photograph of Telangiectasias of t...
Treatment
...reatmen...
...ary of Evidence-Based Statements...
...ntAt the time of initial contact, the clinician...
...onThe clinician should treat active bleedi...
...patients in whom bleeding precludes identifica...
...packing in patients with suspected incr...
...ing educationThe clinician should ed...
...actorsThe clinician should document fa...
...rior rhinoscopy to identify location...
...amination using nasal endoscopyThe...
...ation of nasal cavity and nasophar...
...iate interventions for identified bleeding si...
...n nasal cautery is chosen for treatment, the...
...nd/or embolization for persistent no...
...f patients using anticoagulation and antipla...
...hemorrhagic telangiectasia (HHT) identification...
...education and preventionThe clinician should ed...
...bleed outcomesThe clinician or designee should d...
...e 4. Nasal Packing OptionsHaving trouble viewing t...
Figure 5. Epistaxis Guideline Key Action Statements
...axis Guideline Key Action Statements...
Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications
...6. Patients on Anticoagulants and/o...
Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga
...Anticoagulant and Antiplatelet Medications and...
Patient Information
...InformationPatient FAQs for Nosebleeds...
Table 6. Interventions for an Identified Anterior Nasal Bleeding Site
...erventions for an Identified Anterior Nasal...