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Related Concept Videos

Epistaxis01:30

Epistaxis

260
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

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Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Epistaxis Management in an Emergency Department.

Arnaldo Vivanco1, Karen Sue Hoyt

  • 1Author Affiliations: University of San Diego Hahn School of Nursing and Health Science, San Diego, California.

Advanced Emergency Nursing Journal
|July 28, 2025
PubMed
Summary
This summary is machine-generated.

Epistaxis, a common emergency, requires careful management starting with simple measures. This case study aids emergency Advanced Practice Registered Nurses in treating nasal bleeding effectively.

Keywords:
adult epistaxisepistaxisepistaxis managementnasal packingnose bleed

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Area of Science:

  • Emergency Medicine
  • Otolaryngology

Background:

  • Epistaxis (nosebleeds) are a frequent emergency, accounting for 1.7 per 1,000 emergency department visits annually.
  • Effective management hinges on epistaxis severity, patient comorbidities, and available resources.

Purpose of the Study:

  • To enhance the skills of emergency Advanced Practice Registered Nurses in managing epistaxis.
  • To review a case of new-onset epistaxis in a 76-year-old male.

Main Methods:

  • A comprehensive history and physical examination were performed to identify the epistaxis source.
  • Treatment followed a stepwise approach, from conservative measures to more invasive procedures if needed.

Main Results:

  • The case involved an emergency department visit and two follow-up appointments for epistaxis management.
  • The study details the progression of treatment for a complex epistaxis case.

Conclusions:

  • A systematic approach, beginning with least invasive methods, is crucial for epistaxis control.
  • This case highlights the importance of thorough assessment and tailored treatment for nasal emergencies.