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...
...1. Applying the Nosebleed CPG: Target Patient...
...le 2. Risk Factors Associated with Noseb...
...ure 1a. Epistaxis Illustration: Vas...
...Epistaxis Illustration: Vascular Supply of the La...
...gital Compression to the Lower Third...
...gure 2b. Digital compression to the...
...ure 3a. Anterior Rhinoscopy of the...
Figure 3b. Anterior Rhinoscopy of t...
Figure 4a. Endoscopic View of the Ri...
...re 4b. Telangiectasias of the...
...Photograph of Telangiectasias of the Hard Palate...
Treatment
...Treatment...
...Table 3....
...ementAt the time of initial contact, the clinici...
...essionThe clinician should treat ac...
...ngFor patients in whom bleeding preclude...
...packing in patients with suspected increa...
...l packing educationThe clinician sh...
...clinician should document factors that increas...
...terior rhinoscopy to identify locati...
...using nasal endoscopyThe clinician shou...
...mination of nasal cavity and nasop...
...iate interventions for identified bl...
...auteryWhen nasal cautery is chosen for tre...
.../or embolization for persistent nosebleedsThe c...
...ment of patients using anticoagulation...
...emorrhagic telangiectasia (HHT) identificati...
...ation and preventionThe clinician should edu...
...esThe clinician or designee should docu...
...Nasal Packing Options R...
Figure 5. Epistaxis Guideline Key Action Statements
...5. Epistaxis Guideline Key Action Statements...
Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications
...Patients on Anticoagulants and/or Anti...
Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga
...icoagulant and Antiplatelet Medicat...
Patient Information
...ient InformationPatient FAQs for Nosebleeds...
Table 6. Interventions for an Identified Anterior Nasal Bleeding Site
...6. Interventions for an Identified Ant...