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Discussion in 'Emergency Medicine' started by Aloha Kid, Mar 2, 2007.

  1. Aloha Kid

    Aloha Kid Senior Member 10+ Year Member

    Mar 9, 2001
    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.:laugh:

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

    docB Chronically painful Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Nov 27, 2002
    Las Vegas, NV
    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."
  4. nachoDoc

    nachoDoc On the beach Lifetime Donor Classifieds Approved 7+ Year Member

    Feb 17, 2004


    ENT blows!

    :laugh: :laugh: :laugh:

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