Epistaxis Management
- Epistaxis is a common condition and most cases can be managed with simple first aid measures.
- Assess ABCs when patient presents with epistaxis.
- 90% of epistaxis arise from the anterior nasal septum.
- A stepwise approach can be used to achieve hemostasis: first-aid measures, local vasoconstriction, nasal cautery, anterior nasal packing.
- Commercially available devices for nasal packing are quicker and easier to use than traditional ribbon gauze packing.
- Posterior bleeds should be referred to hospital for management.