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How to Treat Epistaxis?

Things to note:
  • Control bleeding through the application of digital pressure over the cartilage part of the nose.
  • If you can identify the bleeding site, cauterize under a local anesthetic.
  • Anterior bleeding:
    Use BIPP( bismuth iodoform paraffin paste) coated ribbon gauze to insert the anterior nasal pack.
  • Posterior bleeding:
    Use a Foley catheter to insert a posterior nasal pack. A frontal nasal pack should be inserted. After 24 hours, deflate. No rear nasal pack should be left for more than 48 hours.

When to refer:
  • Bleeding persistently.
  • Systemic illness.