Epistaxis Management Algorithm / Checklist 1. blow out clots 2. vasoconstrictor spray 3. nose clip or direct compression for 10-15 minutes 4. if still bleeding: TXA soaked pledget (500 mg in 5 mL) 5. if still bleeding and can see bleeding source: cauterize 6. if still bleeding after cautery or cannot see source: anterior tampon/balloon 7. if still bleeding after anterior packing: consider posterior packing, reversal of coagulopathy, surgical evaluation - Dr. Reuben Strayer https://twitter.com/emupdates #Epistaxis #Nasal #NoseBleed #Algorithm #Checklist #ENT #Management
