Epistaxis packing. Practical pointers for nosebleed control.

Abstract

Primary care physicians often encounter epistaxis. Its treatment may involve nasal sponge tampons, double-balloon nasal catheters, and anterior gauze with posterior Foley catheters, depending on the location of the bleed. Topical anesthetic and decongestant agents are essential, and intravenous analgesia, which enhances comfort, should be considered in all cases. Here, Dr. Randall investigates the practical aspects of epistaxis therapy and provides a simplified approach to treatment using three types of packs that work in virtually every situation.