Volume 14, Issue 1: Epistaxis – controlling the pinch pointAuthor: Melinda (Dolly) McPherson
Epistaxis – controlling the pinch point
You are enjoying a rare moment of downtime when a category 2 call comes in, bleeding in an 82-year-old male. On arrival you find he has a nosebleed so you assess him and manage the bleeding, it all seems quite straightforward until you discuss the case with a specialist paramedic back at base. Should you have discharged him?
Epistaxis is defined as bleeding from the nose and or nasaopharynx, it is a common condition that affects up to 60% of the population with approximately 6% of these seeking medical attention. This article describes the anatomy and physiology of the nose and highlights the common signs, symptoms and causes of epistaxis. There is also guidance on assessment and diagnosis including red flags and complications to consider. This will enable you to manage the patient effectively offering worsening advice and/or making a referral where necessary.
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