What is the most common cause of epistaxis?
Digital trauma
Trauma to which area is the most common cause?
Little’s area/Kiesselbach’s plexus
What are RED FLAGS of epistaxis?
Anticoagulation
Bleeding after 2 attempts at nasal packing
Trauma patients
How would you initially manage a patient with epistaxis
ABCDE
Position upright, leaning forward and squeezing bottom half of nose
Silver nitrate cautery…
Can only be done on one side of the septum
What are topical treatments of epistaxis?
Bactroban and naseptin
Important questions in the Hx:
Recent nasal surgery Post nasal drip Hx of previous bleeds Trauma PMHx of bleeding disorders