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Knowledge Centre / Nosebleeds (Epistaxis)

Nosebleeds (Epistaxis)

Management of epistaxis.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 21 October 2025
ENT

Clinical Guidelines

British Rhinological Society multidisciplinary consensus recommendations
National
CKS: Epistaxis (nosebleeds)
National
NICE guideline [NG180]
National
A Consensus Document on the Hospital Management of Epistaxis (British Rhinological Society 2017)
Local
Clinical Practice Guideline: Nosebleed (Epistaxis) (AAO-HNSF 2020, AAP-endorsed)
Local
Highlights of the 2024 Guidelines Focused Update: First Aid (AHA/ILCOR)
Local

Recent iatroX Q&As

  • What are the initial steps in managing a patient with a first episode of epistaxis in primary care?Updated: 8/16/2025
  • When should I consider referring a patient with recurrent epistaxis to an ENT specialist?Updated: 8/16/2025
  • What are the indications for cauterization in the management of epistaxis, and how should it be performed?Updated: 8/16/2025
  • How can I differentiate between anterior and posterior epistaxis during a clinical assessment?Updated: 8/16/2025
  • What lifestyle modifications or preventive measures should I recommend to patients with a history of frequent nosebleeds?Updated: 8/16/2025
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