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...
...g the Nosebleed CPG: Target Patient and Practice...
Table 2. Risk Factors Associated with Noseble...
...ure 1a. Epistaxis Illustration: Vascular Suppl...
...e 1b. Epistaxis Illustration: Vascular...
...tal Compression to the Lower Third of...
...tal compression to the Lower Third of the Nos...
...e 3a. Anterior Rhinoscopy of the Nose...
Figure 3b. Anterior Rhinoscopy of th...
...oscopic View of the Right Nasal Cavity of...
...langiectasias of the Tongue...
Figure 4c. Photograph of Telangiectasias of...
Treatment
...Treatme...
...Table 3....
...ntAt the time of initial contact, the clinici...
...ssionThe clinician should treat active bl...
...For patients in whom bleeding precludes identific...
...l packing in patients with suspected i...
...ng educationThe clinician should educate the...
Risk factorsThe clinician should documen...
...rhinoscopy to identify location of bleedingT...
...on using nasal endoscopyThe clinician should pe...
...nation of nasal cavity and nasopharynx using nas...
...ppropriate interventions for identified bleedi...
...hen nasal cautery is chosen for treatmen...
...and/or embolization for persistent nosebleeds...
...atients using anticoagulation and ant...
...emorrhagic telangiectasia (HHT) identif...
...education and preventionThe clinician should ed...
...tcomesThe clinician or designee shou...
...Packing OptionsHaving trouble view...
Figure 5. Epistaxis Guideline Key Action Statements
...axis Guideline Key Action Statements...
Figure 6. Patients on Anticoagulants and/or Antiplatelet Medications
...ients on Anticoagulants and/or Antipl...
Table 5. Anticoagulant and Antiplatelet Medications and Appropriate Reversal Agents Based on Severity of Bleedinga
...Anticoagulant and Antiplatelet Medications...
Patient Information
...mationPatient FAQs for Nosebleeds...
Table 6. Interventions for an Identified Anterior Nasal Bleeding Site
...able 6. Interventions for an Identified An...