Dismiss Notice
SDN members see fewer ads and full resolution images. Join our non-profit community!

Epistaxis

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

  1. Aloha Kid

    Aloha Kid Senior Member

    Joined:
    Mar 9, 2001
    Messages:
    419
    Likes Received:
    0
    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.
     
  2. Thread continues after this sponsor message. SDN Members do not see this ad.

  3. docB

    docB Chronically painful
    Physician Moderator Emeritus Lifetime Donor Classifieds Approved

    Joined:
    Nov 27, 2002
    Messages:
    7,742
    Likes Received:
    208
    Status:
    Attending Physician
    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

    Joined:
    Feb 17, 2004
    Messages:
    20,639
    Likes Received:
    3
    Status:
    Non-Student

    [​IMG]

    ENT blows!

    :laugh: :laugh: :laugh:
     

Share This Page