RT Book, Section
A1 Lai, Steven
A1 Waxman, Matthew
A2 Reichman, Eric F.
SR Print(0)
ID 1159809453
T1 Epistaxis Management
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159809453
RD 2024/04/20
AB Epistaxis  is  an  extremely  common  condition  in  the  United  States  with  an  incidence  estimated  at  10  per  10,000  people  per  year  and  a  lifetime  incidence  of  approximately  60%.1  It  is  a  common  reason  for  patient  visits  to  the  Emergency  Department.  Epistaxis  has  a  bimodal  age  distribution  with  an  early  peak  in  those  less  than  10  years  of  age.2  The  frequency  of  epistaxis  decreases  in  the  teens  followed  by  a  progressive  increase  after  20  years  of  age  with  the  highest  frequency  in  the  elderly.2  Epistaxis  is  usually  the  result  of  intranasal  trauma.  It  may  be  the  initial  sign  of  a  more  serious  underlying  systemic  illness.3  Epistaxis  is  often  self-limited  and  can  be  managed  conservatively.4  Epistaxis  can  also  manifest  as  a  profuse  spontaneous  hemorrhage  that  is  extremely  difficult  to  control  and  can  result  in  aspiration,  hypotension,  cardiovascular  collapse,  syncope,  and  airway  compromise.