epistaxis CPG

Question 1

how common is posterior bleeding and how does the managment differ?

Answer 1

5 %
not able to be compresseded- need for surgical intervention/cutriirsation/topical vasoconstrictors

Question 2

what is the inital managment of epistaxis?

Answer 2

pt sitting
neck flexion down
apply unilaterall pressure to soft part/brdge of nose for 15 mins
cool compress to head if avaliable
pt to breath through mouth

Question 3

when can you not proceed?

Answer 3

if bleeding not stopped after 15 mins pressure
recent facail/head trauma
pt on anticoagulants/bleeding disorder

Question 4

what to check before refering?

Answer 4

has bleeding stopped?

Question 5

what to do in referal?

Answer 5

if bleeding stopped completley- health sheet and confirm understanding

refer to gp for follow up within 24 hours if
if trickling/intermittend blood
anti-platlet thearpy
pt has recurrent bleeds
BP remains high after epistaxis