Episode 89.0 – Epistaxis

In this episode of the Core EM Podcast, Anand Swaminathan and Jenny Beck Esme discuss epistaxis, or nosebleeds, building upon a prior episode and a recent resident conference talk. They cover the commonality of nosebleeds, differentiating between anterior and posterior bleeds, and detail a four-step management approach: visualize, anesthetize, cauterize, and tamponade. The hosts emphasize the importance of proper pressure application, discuss various methods of controlling bleeding including vasoconstrictors, TXA, and packing, and address the controversy around antibiotic use with nasal packing. They also provide guidance on managing brisk bleeding with a Foley catheter and stress the importance of ENT consultation for such cases.