A 52-year-old male presents to the emergency department with persistent nose bleeding for over an hour. He has a history of hypertension but is otherwise healthy. He denies any trauma to the nose. Initial interventions should include:
Immediate packing of the nasal cavity with an anterior pack
Administration of oral antihypertensive medication
Applying direct pressure to the cartilaginous part of the nose
Applying direct pressure to the cartilaginous part of the nose for several minutes is a first-line management approach for epistaxis. This helps to control bleeding by compressing the blood vessels. Anterior epistaxis, which is the most common type, is often managed effectively with this method. Packing and cauterization are considered if conservative measures fail, and evaluating medication use, particularly anticoagulants, is necessary if the patient reports relevant history or there is difficulty in controlling the bleeding.
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BCEN CEN
Maxillofacial and Ocular Emergencies
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