A 75-year-old man arrives by ambulance with epistaxis and a blood-soaked towel pressed against his nares. In resus his BP is 156/99, HR 122, RR 14 and SaO2 96%. He speaks in full sentences and can spit out blood. During assessment he clears large volumes of bright blood from his mouth. His medications include clopidogrel and aspirin. You see active bleeding from both nares and direct pressure no longer controls it.
What historical features would make you suspect a posterior bleed?
(Marked out of 2.0)
/ 2
What physical findings would make you suspect a posterior bleed?
(Marked out of 2.0)
/ 2
Topical vasoconstrictor spray and anterior direct pressure have failed, and no anterior source is seen. What are your ED options?
(Marked out of 2.0)
/ 2
What complications can be caused by the methods of haemostasis? Include local and systemic complications.
(Marked out of 4.0)
/ 4
Total Score: 0 / 10
Percentage: 0%
Comments are closed for this SAQ.