This article is available to subscribers. Subscribe now. Already have an account? Sign in

Clinical PracticeFree Preview

Epistaxis

List of authors.
  • Hadi Seikaly, M.D.

Initial management of epistaxis involves digital compression of the lower third of the nose for 15 to 20 minutes. Anterior bleeding not controlled with compression can usually be controlled with topical vasoconstrictors, tranexamic acid, cautery, or anterior nasal packing. If epistaxis continues, posterior packing, arterial ligation, or embolization may be used.

Funding and Disclosures

Disclosure forms provided by the author are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

I thank Shanmugappiriya Sivarajah, M.D., M.P.H. (of the Division of OtolaryngologyCHead and Neck Surgery, University of Alberta, Edmonton, Canada), and Kelvin Zhou, B.Sc. (of the Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada), for contributions to an earlier version of the manuscript.

Author Affiliations

From the Division of OtolaryngologyCHead and Neck Surgery, University of Alberta, Edmonton, Canada.

Address reprint requests to Dr. Seikaly at the Division of OtolaryngologyCHead and Neck Surgery, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Rm. 1E4.33, Clinical Sciences Bldg., 8440 112 St. NW, Edmonton, AB, T6G 2B7, Canada, or at .

Print Subscriber? Activate your online access.