ACTION STAT: Epistaxis

August 2004 
Volume 34  Number 8
Pages 88 - 88
  PDF Version Available!


  • What's the situation?

  • What's your assessment?

  • What must you do immediately?

  • What should be done later?


  • Figure. No caption a...

    AS YOU WALK down the hall of the medical/surgical unit, you're approached by Mrs. Bell, who shouts, “My husband is bleeding!” Following her into his room, you find Mr. Bell sitting up on the edge of the bed and leaning forward. The front of his gown is covered with blood, and you see a small puddle of fresh blood on the floor. Mrs. Bell says her husband sneezed, then started bleeding profusely from his left nostril.

    Figure. No caption available. What's the situation?

    Mr. Bell, 55, was admitted from the ED with a hypertensive emergency after experiencing chest pain at work. His blood pressure is now under control with hydrochlorothiazide, carvedilol, and enalapril, and he's scheduled ...

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