Epistaxis

Case 1: Next Step

Following this, what should you do next?

Reassess the patient (A-E approach):
Discharge patient with adequate advice:

apply antiseptic cream (ie. Naseptin, Bactroban) in nostrils for 2 weeks

[caution: do not prescribe Naseptin in patients with peanut/ soya allergy]

not to blow, pick their nose
avoid hot foods/ drinks for a few days
avoid strenuous activities for a few days
educate patients about proper first aid measures in the event of a re-bleed and to seek medical aid if nosebleed lasts longer than 20 minutes