Epistaxis

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 15 February 2017

⏱️ 23 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Epistaxis is an extremely common presentation to both Prehospital Emergency Services and Emergency Departments. The vast majority are benign and self limiting but every once in a while a catastrophic bleed will come our way.

Whilst not necessarily the most attention grabbing of topics a sound understanding of the management is key to excellent care.

In this podcast Rob talk us through the management of epistaxis, all the way from causes and presentation, right the way through to resuscitative management and latest evidenced based treatment.

Enjoy!

References & Further Reading

LITFL epistaxis review

Geeky medics epistaxis

BMJ overview paper & management flowchart

Routine coagulation screening in the management of emergency admission for epistaxis; is it necessary? Thaha MA. J Laryngol Otol 2000

Front-line epistaxis management: let's not forget the basic. E C Ho. J Laryngol Otol 2008

Serious spontaneous epistaxis and hypertension in hospitalized patients.Page C. Eur Arch Otorhinolaryngol. 2011

Tranexamic acid in epistaxis: a systematic review. Kamhieh Y, et al. Clin Otolaryngol. 2016

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.8	Five, four, three, two, one, fire.
0:12.3	So hi, and welcome back to the Recess Room podcast.
0:15.8	I'm Simon Lang.
0:17.0	And I'm Rob Fenwick.
0:18.4	And this is all about Rob.
0:20.7	It's all about epistaxis.
0:22.8	You're going to give me an education on the topic.
0:25.9	I'm going to school you on nosebleeds.
0:28.0	That's spot on, Simon.
0:29.9	Spot on.
0:31.0	Yeah, the reason that I suggested this as a topic was just...
0:33.9	I've had a couple of cases really over the winter that have brought it to my mind
0:37.5	and in terms of, it's just made me realize that actually for patients, these are really stressful
0:42.8	and can be really distressing. And for clinicians who aren't used to dealing with them on a
0:47.7	regular basis, a good going epistaxis can be quite stressful. And actually, it needn't be,
0:53.8	really, to be perfectly honest and one of the
0:55.9	things that I thought would be really good to do is just go over and give a quick podcast on some of
1:00.4	the key points to take away some of the key management aspects of it and how you can address it
1:05.8	from an EM perspective so I think it'll be a good topic it better be be. Yes, otherwise completely wasted your time, Simon.
1:13.3	But thanks for coming anyway.
1:14.9	Get someone else to spend my Sunday evenings with.
	...

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