SAQ41 – ENT – epistaxis

A 72 year old man presents to the emergency department with ongoing epistaxis. He is taking warfarin and atenolol for atrial fibrillation. He has 2 large bore IV access in situ and non-invasive monitoring applied. His vital signs on presentation are: HR 50 bpm (atrial fibrillation), RR 16/min, BP 70/30 mmHg, Temp 37 °C, GCS 15.

a. List four (4) KEY STEPS in your management in the Emergency Department. Provide one (1) detail for each step.

(Marked out of 8.0)
</p> <table style="width:100%; border-collapse: collapse; border: 1px solid black;"> <thead> <tr style="background-color: #f2f2f2;"> <th style="border: 1px solid black;">Management (4 marks)</th> <th style="border: 1px solid black;">Detail (4 marks)</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> </tbody> </table> <p>

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b. The bleeding persists despite your management above. You suspect a posterior site for the bleeding. State two (2) options for control of bleeding in the Emergency Department. List one (1) important pro for each option.

(Marked out of 4.0)
</p> <table style="width:100%; border-collapse: collapse; border: 1px solid black;"> <thead> <tr style="background-color: #f2f2f2;"> <th style="border: 1px solid black;">Option (2 marks)</th> <th style="border: 1px solid black;">Pro (2 marks)</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> <tr> <td style="border: 1px solid black;"></td> <td style="border: 1px solid black;"></td> </tr> </tbody> </table> <p>

/4

Total Score: 0 / 12

Percentage: 0%