Anterior epistaxis.

Citation metadata

Date: Oct. 3, 2022
From: CMAJ: Canadian Medical Association Journal(Vol. 194, Issue 38)
Publisher: CMA Impact Inc.
Document Type: Article
Length: 529 words
Lexile Measure: 2010L

Document controls

Main content

Article Preview :

1 Direct compression of the nasal alae (lower third of the nose) with the head tilted forward will stop many bleeds

Epistaxis is the primary reason for 1 in 313 ED visits. (1) Correct application of pressure is the only intervention required in about 20% of cases. (2)

2 Topical medications and cautery can control anterior nasal bleeding that cannot be resolved with direct compression

Topical medications (such as oxymetazoline, tranexamic acid or lidocaine with epinephrine on a cotton pad) can help control bleeding. (3) Once a source of bleeding is visualized, it can be cauterized using chemical (silver nitrate) or electrical cautery. Bilateral cauterization of the septum can cause septal perforation and should be avoided.

3 Resorbable packing or tamponade may be necessary in about one-fifth of cases

Around 20% of epistaxis cases that...

Source Citation

Source Citation   

Gale Document Number: GALE|A721424903