A 39-year-old woman has severe anterior epistaxis. Compression and topical vasoconstrictor fail; a visible anterior vessel is identified. Next step?...

Question

A 39-year-old woman has severe anterior epistaxis. Compression and topical vasoconstrictor fail; a visible anterior vessel is identified. Next step?

Accepted Answer

Chemical/electrocautery to the bleeding site

Answer

Anterior packing without attempting cautery

Answer

Posterior packing first

Answer

No further care; outpatient follow-up

Answer

Systemic tranexamic acid infusion

Epistaxis-Anterior Cautery — MRCEM SBA MCQ