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Intro and Anatomy

Mel Herbert, MD MBBS FAAEM, Stuart Swadron, MD FAAEM, and Jessica Mason, MD
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05:40
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No me gusta!

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C3 - Epistaxis Written Summary 742 KB - PDF

An introduction to epistaxis in the ED and anatomical difference between anterior and posterior bleeds.

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Kevin M., MD -

Great discussion even for an experienced physician. Enjoyed that the C3's are not segmented.

Tim V. -

I thought that prophylactic antibiotics for packing was out? http://rebelem.com/do-patients-with-epistaxis-managed-by-nasal-packing-require-prophylactic-antibiotics/

Thanks for the review

Jess Mason -

Yes, we are aware that the literature is limited in showing TSS association with nasal packing. BUT, we try to design C3 episodes with the newer learner in mind, and stick with what is the accepted standard practice. We felt that antibiotics are still the common practice and try to stick with the textbook approach here.

Bridget S. -

Any tips for nasal numbing prior to packing if cocaine isn't available? Are people just spraying lidocaine with some sort atomization device, applying pledgets dipped in lidocaine, or some other approach? Thanks!

Jess Mason -

You got it! Atomize the lidocaine or soak a pledget. You can even mix the lido with oxymetazoline or neosynephrine.

Matthew Oliver -

This was such a great review thanks!

Just want to give a quick shout out to a tip from Andy Buck I learnt that has helped immensely over the years.
The Epistaxis nose Peg:

http://www.edexam.com.au/epistaxis/

So handy and has really helped patients in my experience. Hope you find it useful!

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C3 - Epistaxis Full episode audio for MD edition 59:42 min - 83 MB - M4AIntro and Anatomy C3: Continuous Core Content 5:40 min - 8 MB - MP3History and Physical C3: Continuous Core Content 6:44 min - 9 MB - MP3Initial Approach and Management C3: Continuous Core Content 14:43 min - 20 MB - MP3Management: Part 1 C3: Continuous Core Content 11:32 min - 16 MB - MP3Management: Part 2 C3: Continuous Core Content 10:23 min - 14 MB - MP3Special Situations C3: Continuous Core Content 5:13 min - 7 MB - MP3Disposition and Summary C3: Continuous Core Content 5:26 min - 7 MB - MP3C3 2017 May Epistaxis Board Review Answers 187 KB - PDFC3 2017 May Epistaxis Board Review Questions 136 KB - PDFC3 - Epistaxis - Separate MP3 79 MB - ZIPC3 - Epistaxis Written Summary 742 KB - PDF