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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
Summary
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.
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.
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