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EM Clerkship

Epistaxis

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 3 April 2016

⏱️ 8 minutes

🧾️ Download transcript

Summary

Don’t forget to wear protective gear. Gown up! Initial Encounter History Anticoagulants Easy bleeding/bruising Lightheadedness Exam Pallor Tachycardia/Hypotension Step 1: Put on Personal Protective Equipment Gown Gloves Mask Eye Protection Step 2: Clear Nose and Visualize Bleeding Have patient blow out/remove any clot and look for source of bleed Kiesselbachs plexus “Anterior” epistaxis Sphenopalatine artery […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.a.i. Hello, med students. My name is Zach Olson and today we are going to talk

0:51.0

about one of those other topics. I'm going to give you the approach to

0:55.9

nose bleeding so you can rock your emergency medicine clerkship and get top one-third in your

1:02.0

slow. Now, in this episode, there's really one thing that I want to emphasize, and that is

1:07.5

this. Protective equipment is important. It's really, really, really important.

1:12.9

It's like wearing a seatbelt. You will virtually never need it until it's too late, and then you wish

1:18.2

you had it. And I know, I know, I know. I'm the OSHA police. That's so lame. We don't have time.

1:24.9

Whatever. Listen, I get it.

1:29.3

I get lazy with this myself.

1:35.8

It's part of the whole, I'm tough, I'm fearless, I get vomited on, welcome to the pit-type culture that we love emergency medicine for.

1:38.8

But to be honest, that's dumb.

1:42.3

Don't be stupid.

1:43.4

This is something we can all improve on,

1:46.0

especially with this chief complaint,

1:48.4

because there is going to be blood everywhere,

...

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