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In this section : Ear, Nose and Throat

Management of Epistaxis Sore Throat Differential Diagnosis Dizziness Differential Diagnosis Peritonsillar Abscess/Quinsy Acute Tonsillitis Acute Mastoiditis Otitis Media Otitis Externa WoS Paediatric Drooling and Aspiration Guideline Voice clinic Ear Wax Admitting Patients with Tracheostomy/Laryngectomy to DGRI Emergency Laryngectomy Management Emergency Tracheostomy Management Safe Transfer of Patients with Tracheostomy/Laryngectomy within DGRI Other Tracheostomy Documents

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Management of Epistaxis

Last updated 12th October 2023

Initial Management

Ask the patient to apply pressure by pinching the lower part of nose for 10 mins. Repeat if still bleeding. Breathe through the mouth, sit forward and spit blood into a bowl.
Place an ice pack on the dorsum of the nose and back of the neck. It is reasonable to try this in all patients, as this can avoid the insertion of unpleasant packs.
If this does not work -> refer to ENT

If Bleeding Severe and No Time Waiting for ENT

Preferred nasal pack is Rapid Rhino in anterior epistaxis

Links

Oxford Handbook of Clinical Specialties (Baldwin, Oxford Academic, 2020 – Page 412)

Content by Alexandra Barabas and Marissa Botma