Epistaxis - Definitive Management

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  • čas přidán 29. 07. 2015
  • Epistaxis is a common but often poorly managed condition in the ED. In this video we show you how to definitively manage epistaxis.

Komentáře • 33

  • @williecrain5343
    @williecrain5343 Před 4 lety +2

    Thanks Info was very Knowledgable

  • @chelseabb3612
    @chelseabb3612 Před 6 lety +1

    Great video!!

  • @Champions8055
    @Champions8055 Před 4 lety

    Superb exploration

  • @ameliadoole2476
    @ameliadoole2476 Před 4 lety +3

    Just out of hospital with severe nose bleed scariest thing had to have surgery to get artery blocked

  • @timothyburrows9622
    @timothyburrows9622 Před 8 lety +4

    As someone with a clotting disorder Rpaid Rhinos are a godsend. Do you guys have the 4.5cm one? I heard you mention 5.5 and 7.5.

  • @arlenerampola5125
    @arlenerampola5125 Před 8 lety +3

    I experienced nose bleeding for about a year and half I was diagnosed having hypertension and iron deficiency anemia I discussed with my doctors but never prescribed anything to me I am currently on medications for hypertension

  • @joanngatho9547
    @joanngatho9547 Před 4 lety +2

    The video was educative but you should have shown the equipment in a closer view

  • @YourFreeBeats
    @YourFreeBeats Před rokem

    I’m surprised they don’t use Anastasia (sp?) when doing the balloon. Not local but a from of general.

  • @32ahmmed
    @32ahmmed Před 5 lety +1

    👍

  • @richardwheelerrw
    @richardwheelerrw Před rokem

    Did you have an operation

  • @dralul
    @dralul Před rokem

    How do you tell whether you have an anterior versus posterior nosebleed?

    • @AndyBuckDoc
      @AndyBuckDoc Před rokem

      Anterior epistaxis usually comes from Kiesselbachs plexus on the septum, and you can usually see the bleeding point. Posterior bleeds arise further back, with a bleeding point that isn’t easily visible, often arising from Woodruff’s (nasopharyngeal) plexus. In practice, if you can’t see a bleeding point after cleaning out the nasal cavity and using cophenylcaine, it’s probably posterior. If you pack both sides (eg with a rapid rhino) and blood starts pouring down the back of the throat, it’s probably a more posterior bleeding point.

  • @Paulina1best
    @Paulina1best Před 3 lety

    I had massive life-threatening bleeding back in 2019 in February I went to the hospital I don’t usually go to they put blue in the station in my nose because I thought it was just a nosebleed but it was more than that it got worse and I am up having severe bleeding and start coming on my ears not just excessively on my nose but I also was throwing up blood and blood discussing out of my throat now which I didn’t understand the first hospital saying that there was another place because I knew it wasn’t avoiding when I got to my local hospital that has my history Along Daughter saw that I had an infection on the tip of the branch like a speck of infection put me on anabiotic‘s but the bleeding was never put under control the nose spray didn’t do anything in any kind of movement we started up the last time the final time it got so bad word got caught up in my belly so I had clots forming in the back of my esophagus and where my throat is I literally had to pull them out myself the nurses in the head nurse didn’t understand why my doctor didn’t bring anybody to figure out the source of this bleeding and to this day I still don’t have an answer I do have vascular disease with a block of us backwards and forwards and I also have rear syndrome, illnesses and autoimmune diseases along with diagnoses of dystonia. If anybody can clarify what they believe might’ve transpired that be very much appreciated my basket heart doctor was very upset that works at Suburban but he now since retiring due to him being sick but he personally called my primary and said what in the world happened because he one of the better answer and he still got the same answer I got I don’t know and he said that’s unacceptable but again the primaries it I don’t know so if anybody can clarify or try to give me an idea what caused it that would be appreciated

    • @MamaSwede
      @MamaSwede Před 2 lety

      I would go to a ear nose and throat doctor.

    • @Paulina1best
      @Paulina1best Před 2 lety

      @@MamaSwede My old ENT showed up at the hospital when I was admitted an cleared me of it being related to my nose all together that’s what I’m saying unknown source of the life-threatening bleeding back in February 2020 I have bad vascular and heart issues it’s genetic an I truly believe that’s what the cause was because I get ulcers and blood vessels rupturing all thee time… also I had massive bleeding when it comes to female things every month and when I say massive bleeding that’s what I mean and sometimes a long duration normally post to be an lately all my specialist have been asking me every single time I get blood drawn are you on blood thinners an I keep on telling him no so I’m curious to know why that is?? I also have a boatload of rare diseases that can attack and damage my body at any time and I mean any part of the body brain tissue of any kind whether it be blood vessels with it being a normal tissue the organs etc. your body can go on attack at any time I have lupus SLE, SMA syndrome I had life-saving surgery for also dystonia Sjogren’s syndrome etc.

    • @MamaSwede
      @MamaSwede Před 2 lety +1

      @@Paulina1best I am so sorry you have to deal with that. I wonder if your condition is exasperated by estrogen possibly? Hope they figure out a cause and a way to help you truly 💜💜💜

  • @olblu8746
    @olblu8746 Před 3 lety

    Thanks Dr. The video was very informative. Why aren't patients put under anesthesia , l wouldn't want to experience all that discomfort and lots of pain?

    • @oahola237
      @oahola237 Před rokem +1

      With active bleeding at a site near the airway, sedation is not a preferred approach. Risks vs benefits and all. Not to make light of the discomfort but honestly most folks tolerate this better than IV placement. Also topical anesthetics can applied to lessen the pain. Also if one inserts very slowly in the proper direction, patients seem to do pretty well.

    • @richardwheelerrw
      @richardwheelerrw Před rokem

      @@oahola237 surely it’s more painful and discomforting than having an IV placed

    • @oahola237
      @oahola237 Před rokem

      @@richardwheelerrw I have done both procedures numerous times. My impression is patients howl and grimace far more with IVs. If you place the nasal balloon slowly and steadily after some topical anesthesia, most patients seem to do pretty well. They are far more annoyed by the constant pressure of the inflated balloon afterwards.

    • @richardwheelerrw
      @richardwheelerrw Před rokem

      @@oahola237
      So it’s not as bad as it seems
      Is Posterior Packing common after Nasal Surgery or very rare

    • @oahola237
      @oahola237 Před rokem

      @@richardwheelerrw I couldn't say. I am not an ENT so I am not sure about using them post-operatively.

  • @polopopolipi8830
    @polopopolipi8830 Před 8 lety +2

    i speak english then i had nosebleed.

  • @Paulina1best
    @Paulina1best Před 3 lety

    I wish I can show you pictures the sucking device was not suitable for the amount of blood and clotting I had it wouldn’t work I literally had to use a basin in the sucker and literally pull out clause and so many other things it was a writing this. My sister had to throw out tons of towels and mine because that’s how massive the bleeding 🩸 was!! I truly don’t want this to happen to me again. He says vomit bag and all that the massive amount of blood that I lost not significant repeat that nope.

  • @nipunjhaveri8724
    @nipunjhaveri8724 Před 3 lety

    Can you explain sowlely Sir to understand

  • @valdoreneval7748
    @valdoreneval7748 Před 5 lety +1

    Fala português

  • @ralphporter6006
    @ralphporter6006 Před rokem +1

    Almost impossible to understand a thing you say.

  • @gailcrowe727
    @gailcrowe727 Před rokem +1

    Bla, bla, bla, rabbit, rabbit rabbit. What a palarva! an ENT consultant cauterised my nose.
    I took 2 minutes. I can hardly hear a word you are saying, can’t you talk ant faster?😂