RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57718105
T1 Chapter 172. Epistaxis Management
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57718105
RD 2024/04/19
AB Epistaxis  is  an  extremely  common  condition  in  the  United  States  with  an  incidence  estimated  at  10  per  10,000  people  per  year.1  It  is  a  common  reason  for  patient  visits  to  the  Emergency  Department.  There  is  an  early  peak  in  those  less  than  10  years  of  age.2  The  frequency  of  epistaxis  decreases  in  the  teens  and  begins  to  progressively  increase  after  20  years  of  age,  with  the  highest  frequency  in  the  elderly.2  Epistaxis  usually  is  the  result  of  well-localized  intranasal  trauma.  However,  it  may  be  the  initial  sign  of  a  more  serious  underlying  systemic  illness.  Epistaxis  is  often  self-limited  and  can  be  managed  conservatively.  Epistaxis  can  also  manifest  itself  as  a  profuse  spontaneous  hemorrhage  that  is  extremely  difficult  to  control  and  result  in  aspiration,  hypotension,  cardiovascular  collapse,  syncope,  and  airway  compromise.