Epistaxis resident survival guide: Difference between revisions

Revision as of 20:11, 13 August 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Synonyms and keywords:

Overview

Epistaxis also known as noes bleeding, is a terminology name for bleeding of nose vessels that drains out from nostril (most often) and/or nasopharynx. Epistaxis is often stop easily but sometimes it's an ENT emergency which can be critical if appropriate action does not occur. Kiesselbach's plexus is the source of most epistaxis.

Causes

Base on the cause and severity of Epistaxis it can be life threatening.

Life Threatening Causes

Life-threatening causes of epistaxis include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of Epistaxis according the the [...] guidelines.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Statement Action Strength

Patient with epistaxis

Does the patient need immediate action?

Yes→Volume replacement,airway check, Needs for emergency departement

No

Active Bleeding?

Yes→Nasal compression for≥5 min

Bleeding resume

Bleeding stopped

NO→Rhinoscopy to identify location of bleeding

Risk assesment (Assess for Hereditary Hemoragic Telangiectasia

F02

Rhinoscopy to identify location of bleeding

G02

G03

G04

Bleeding site Identified

Bleeding site not identified

H03

Anestesia bleeding site and limit nasal cautery to site

I02