Persistent Epistaxis

Persistent Epistaxis

Persistent Epistaxis

Persistent Epistaxis Persistent Epistaxis

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Question 1 of 3

1. Question
Which of the following are appropriate first aid measures to stop the bleeding?
- Pinching the soft part of the nose for at least 10 minutes
- Putting an ice pack on the back of the patient’s neck
- Applying a swimmer’s nose clip to the nose
- Lie the patient down to reduce blood flow to the nose
- Sucking on an ice cube
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Question 2 of 3

2. Question
After applying correct first aid techniques for 20 minutes it is clear that the bleeding is continuing.

Which one of the following reflects the correct strategy regarding investigations in this patient?
- A nasal x ray is useful in this patient
- All patients must have a complete set of routine blood tests taken
- This patient must have a sample taken for cross matching
- No routine investigations are required
- All patients must have a coagulation screen done as a bare minimum
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Question 3 of 3

3. Question
Which one of the following is the most effective and comfortable method of dealing with this patient’s bilateral epistaxis?
- Ribbon gauze packing of the nose
- Insertion of a compressed sponge (e.g. Merocel) tampon
- Insertion of bilateral foley catheters
- Bilateral nasal cautery
- Insertion of an inflatable balloon (e.g. Rapid Rhino) tampon
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