Jun 25, 2021 · Epistaxis results from an interaction of factors that damage the nasal mucosal lining, affect the vessel walls, or alter the coagulability of the blood. Controversial topic and is often misunderstood in epistaxis – see Hypertension and Epistaxis.

Aug 15, 2018 · Compressive therapy is the first step to controlling anterior epistaxis. Oxymetazoline nasal spray or application of cotton soaked in oxymetazoline or epinephrine 1:1,000 may be useful adjuncts...

Jan 15, 2005 · Treatments to be considered include topical vasoconstriction, chemical cautery, electrocautery, nasal packing (nasal tampon or gauze impregnated with petroleum jelly), posterior gauze...

Apr 27, 2017 · Use a q-tip to but vaseline (petroleum jelly) or another over-the-counter nasal lubricant into the nose. Then gently squeeze the nose to remove some of it and leave the rest. You may use an antibiotic ointment sometimes if an …

Apr 1, 2019 · Active posterior hemorrhage commonly provokes patient gagging, which complicates positioning of the gauze above the soft palate at the posterior nasal choana. In contrast, one visualizes the...

Epistaxis is the most common otorhinolaryngological emergency that requires hospitalization. Our results provide evidence that it can be effectively managed with Merocel and Surgicel. To the best of our knowledge, this is the first time the wrap technique has been described.

Feb 25, 2013 · This article provides a review of epistaxis for the emergency clinician. The anatomy, incidence, etiology, diagnosis, and management of posterior and anterior epistaxis are discussed.

Aug 11, 2016 · An alternative anterior pack, though difficult and time consuming to place, can be made from up to 6 feet of ½-inch Vaseline gauze. Cover the gauze with antibiotic ointment and insert it with a bayonet forceps.

If direct pressure is not sufficient, gauze moistened with epinephrine at a ratio of 1:10,000 or phenylephrine (Neo-Synephrine) may be placed in the affected nostril to help vasoconstrict and...

Vaseline gauze (the entire 6’ x ½”) can be placed and is very effective at controlling difficult bleeds (HHT, trauma, etc), but is even more uncomfortable for patients. Remember that alar necrosis can occur in <24 hrs. Minimize pressure on nasal ala.