REBEL Cast REBEL Core Cast 123.0 – Posterior Epistaxis
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May 29, 2024 Discover the rare yet life-threatening condition of posterior epistaxis. The discussion focuses on its unique symptoms and the crucial differences from anterior epistaxis. Learn about effective diagnosis and management protocols, as well as treatment options. The speakers emphasize rapid control techniques and the necessity of surgical intervention. They also highlight the importance of involving ENT specialists and ensuring proper monitoring for affected patients.
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Identification of Posterior Epistaxis
- Identify posterior epistaxis by heavy bleeding anteriorly and posteriorly with difficulty speaking.
- If bleeding continues after proper anterior pressure or packing, suspect posterior epistaxis and act accordingly.
Management and Bleeding Control
- For posterior epistaxis, initiate IV access, oxygen, monitoring, and consider blood products.
- Use personal protective equipment and control bleeding with commercial posterior packs or Foley catheters if unavailable.
Antibiotics Post Packing
- Antibiotic use after posterior nasal packing lacks strong evidence but is reasonable.
- Coordinate antibiotic decisions with ENT specialists as needed.
Take Home Points: Posterior epistaxis is a rare, life-threatning presentation. The key is in identifying and rapidly gaining control with a posterior pack or foley catheter. These patients often require surgical intervention so get ENT to the bedside and admit to a place with a higher level of monitoring. REBEL Core Cast 123.0 – Posterior ...