Epistaxis

[Aloha Kid]

Just had the worst nose bleed yet.

76 y female on coumadin - slowly bleeding to death
- Cautery of anterior bleed successful > until I discovered the posterior bleed.
- Merocel > FAILED, bled right through it.
- Epimax 2 balloon nasal catheter, still OOZING.
- Ativan & Haldol > Pt still touching her nose - messing with the catheter.
- FFP reversal of INR > still OOZING
- RBC transfusion > pt develops skin rash
- 3 calls to the ENT > "I'm not coming in."
- 4th call to the ENT & We're thinking about intubating > "I'll be right there."
- ENT arrives, deflates and removes the Epimax > BLEEDING STOPS!!!!!!!!!
- Who's the putz? > Me.

No more, please! I'd rather poke myself in the eye with a hot poker.

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[docB]

Epistaxis is the worst. ENT is second worst. ENT's specialty motto: "If it's not an emergency I'm not coming in. If it is an emergency it's too late for me to get there in time so up yours."

 

[nachoDoc]

Epistaxis is the worst. ENT is second worst. ENT's specialty motto: "If it's not an emergency I'm not coming in. If it is an emergency it's too late for me to get there in time so up yours."

ENT blows!