Evaluation and management of acute epistaxis in the emergency department


  • Ashraf Abdulaziz Abduljabbar Department of Otolaryngology, East Jeddah Hospital, Jeddah, Saudi Arabia
  • Abdulla Khalaf Abdulmahdi College of Medicine, Cairo University, Cairo, Egypt
  • Asma Yahia Alalshojaa Nursing Administration Department, Directorate of Health Affairs Aseer, Abha, Saudi Arabia
  • Mohammed Qhalib Alfaier Department of Emergency Medicine, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
  • Ahmed Hassan Almasuai Department of Emergency Medicine, King Faisal Medical Complex, Taif, Saudi Arabia
  • Abdulaziz Fadel Alfadley College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
  • Roaa Ali Alkanderi Kuwait Institute for Medical Specializations, Kuwait City, Kuwait
  • Amal Yasir Alyousif Department of Otolaryngology, Qatif Central Hospital, Qatif, Saudi Arabia
  • Ghaith Saleh Alabdullatif College of Medicine, Shaqra University, Dawadmi, Saudi Arabia
  • Abdulrahman Saeed Almuaddi College of Medicine, King Khalid University, Abha, Saudi Arabia
  • Abdullah Ahmad Alkurdi College of Medicine, Al-Rayan Colleges, Medina, Saudi Arabia




Acute epistaxis, Nosebleed, ED, Evaluation, Management


Acute epistaxis, or nosebleed, is a common presentation in the emergency department (ED) that requires a systematic evaluation and prompt management. The assessment involves considering the severity of bleeding, identifying underlying causes, and implementing appropriate interventions. Modifiable risk factors, such as medication review, nasal hygiene, avoidance of nasal trauma, and humidification, should be addressed to prevent recurrence. Referral to specialists is necessary for cases of recurrent or severe bleeding, suspected underlying causes, or inadequate response to initial management. Collaboration between ED healthcare providers and specialists ensures comprehensive evaluation, specialized interventions, and long-term management. Regular follow-up appointments and patient education are essential for monitoring progress, adjusting treatment, and preventing complications. By employing a comprehensive approach, healthcare providers aim to alleviate distress, achieve hemostasis, identify underlying etiologies, and optimize patient outcomes in the ED.


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How to Cite

Abduljabbar, A. A., Abdulmahdi, A. K., Alalshojaa, A. Y., Alfaier, M. Q., Almasuai, A. H., Alfadley, A. F., Alkanderi, R. A., Alyousif, A. Y., Alabdullatif, G. S., Almuaddi, A. S., & Alkurdi, A. A. (2023). Evaluation and management of acute epistaxis in the emergency department. International Journal Of Community Medicine And Public Health, 10(8), 2985–2989. https://doi.org/10.18203/2394-6040.ijcmph20232395



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