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A 35-year-old man presents to the ED with an epistaxis of 2 hours duration. He has been dabbing at his nose with a tissue, hoping to stop the bleeding. There is no history of recent nosebleeds, trauma or other symptoms consistent with a generalised coagulopathy.
Which of the following factors are known to be associated with an increased risk of epistaxis in this man?
Outline three initial steps you would take to stop the bleeding in this man, assuming his initial cardiorespiratory observations were stable.