Question

A 49-year-old presents 30 minutes after a low-risk head-on MVC with epistaxis on apixaban. After 10 minutes of firm compression, bleeding persists. What is the next recommended step in the ED?

Accepted Answer

Topical vasoconstrictor and consider cautery

Answer

Prophylactic systemic tranexamic acid IV for all

Answer

Nasal packing without vasoconstrictor

Answer

Immediate posterior packing only

Answer

Observe without intervention

Practice question

A 49-year-old presents 30 minutes after a low-risk head-on MVC with epistaxis on apixaban. After 10 minutes of firm compression, bleeding persists. What is the next recommended step in the ED?