Hemorrhage from the nose involving either the anterior or posterior mucosal surfaces
Intractable or refractory epistaxis: recurrent or persistent despite appropriate packing or multip...
Assess airway patency and cardiovascular stability.
Determine on which side bleeding began, anterior or posterior, duration.
Define trauma (including nose picking) or other precipitatin...
Most cases are managed as outpatient (1)[B].
Home use—Nosebleed QR: a nonprescription powder of hydrophilic polymer with potassium salt; induces scab formation
Patient applies direct pressure ...
Hemodynamic monitoring if severe blood loss
24-Hour minimum for leaving packing in place; some recommend 3 to 5 days. Rebleed usually occurs betw...
Manes RP. Evaluating and managing the patient with nosebleeds. Med Clin North Am. 2010;94(5):903–912. [View Abstract on OvidMedline]
Schlosser RJ. Clinical practice. Epistaxis....
12441001 Epistaxis (disorder)
232354002 Anterior epistaxis
232355001 Posterior epistaxis
232356000 Traumatic epistaxis
Most epistaxis is anterior and responds well to timed pressure over the anterior nares for 5 to 20 minutes.
Most nosebleeds are idiopathic or as a result of nose picking.
Posterior noseb...
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