Summary
EM Basic is back with a brand new episode. Today's episode was done by Dylan Norton and David Murphy, both 4th year medical students at the University of Colorado Medical School. We see epistaxis a lot in the ED and while most of it is mild and self limiting, there are frequently cases that take a lot of skill to manage. They'll talk about the basics of the history and physical with epistaxis, how to order the necessary lab tests, how to manage any case of epistaxis in a step-wise manner, and some newer areas of research.
Transcript
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| 0:00.0 | Hi, everybody. This is Steve Carroll, and you're listening to the InBASA podcast. Today I'll be handing over the microphone for this episode on Epistaxis. A while back, two medical students from the University of Colorado named Dylan Norton and David Murphy contacted me about recording this episode, and they did a really awesome job. This episode will review the basics of |
| 0:21.4 | epistaxis, and it will go over everything you need to know about this chief complaint. |
| 0:25.8 | That's all I have to say, except for that this podcast has represented on the views of |
| 0:28.5 | a partner of defense, the U.S. Army of Shawshack EM Residency Program. With that said, |
| 0:33.2 | here's Dylan Norton and David Murphy on epistaxis. Hello, EM Basic listeners, my name is David Murphy, and I'm joined today by my classmate, Dylan Norton. |
| 0:43.4 | We're fourth-year medical students at the University of Colorado in Denver, and we're going to tackle the topic of epistaxis today. |
| 0:49.9 | We would like to thank Dr. Carroll for giving us this opportunity to produce this episode of EM Basic, |
| 0:55.3 | along with Dr. Michael Breyer of Denver Health Emergency Medicine for his help in reviewing the content for this episode. |
| 1:01.9 | First off, a quick disclaimer. |
| 1:03.7 | The views and opinions expressed in this podcast are our own and do not reflect those of our institutions. |
| 1:09.3 | Thanks for the intro, David. |
| 1:10.8 | Why don't we start |
| 1:11.4 | with a case? Then we can discuss how to assess and manage these patients, potential pitfalls, |
| 1:16.5 | and current controversies. Sounds good. Go ahead and lead us off. Okay, you're working a late |
| 1:21.7 | night shift in the ED and are called to see a 66-year-old man with a history of atrial fibrillation |
| 1:27.1 | who presents with a nosebleed that just won't stop. |
| 1:30.3 | It started about two hours ago, and he thinks he's lost about a cup of blood so far. |
| 1:34.3 | He's been able to control the bleeding with pressure, but every time he releases the pressure, the bleeding starts again. |
| 1:40.3 | He says nothing like this has ever happened before, and the bleeding just started out of the blue. |
| 1:45.0 | He denies any trauma and definitely was not picking his nose. |
| 1:49.0 | He's in no acute distress, but looks anxious and tired. |
| 1:52.0 | He's a febrile with a pulse of 75 and normal respiratory rate. |
... |
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