Clinical Case Database / Category: Practical Procedure

Practical procedures involved in managing epistaxis

Publication details

Dr Mark Pais MBChB, Dr Yim Lun Wong MBChB, Dr William Cheung MBChB
Foundation Years Journal, volume 3, issue 10, p.35 (123Doc Education, London, December 2009)


A 65-year-old female presented to the A&E department with epistaxis from her left nostril lasting for 45 minutes. She had tried to control the bleeding by pinching the bridge of her nose but to no avail.

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Dr Mark Pais MBChB (Corresponding author)

ENT department
Universiy Hospital of Coventry and Warwickshire
Clifford Bridge Road

Dr Yim Lun Wong MBChB

General Surgery Department
University Hospital of Coventry and Warwickshire

Dr William Cheung MBChB

Orthopaedic Department
Royal Orthopaedic Hospital


1.  O’Donnell M, Robertson G, McGary GW (1999) A new bipolar diathermy probe for the outpatient management of adult acute epistaxis. Clin Otolaryngol, 24: 537–541.

2.  Leong SC, Roe RJ, Karkanevatos A (2005) No frills management of epistaxis. Emerg Med J, July, 22(7): 470–472.

3.  Moumoulidis I, Draper MR, Patel H, et al. (2006) A prospective randomised controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis. Eur Arch Otorhinolaryngol, August, 263(8): 719-722


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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