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Aloha Kid

Senior Member
10+ Year Member
15+ Year Member
Mar 10, 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.
Upvote 0


On the beach
7+ Year Member
15+ Year Member
Feb 17, 2004
  1. Non-Student
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!

:laugh: :laugh: :laugh:
Upvote 0
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