Author name: Tim Leeuwenburg

Rural doctor living on Kangaroo Island with interested in emergency medicine, anaesthesia and trauma. Currently a senior specialist (retrieval) with the Central Australian Retrieval Service, Chair of www.SandpiperAustralia.org and Ass/Prof Aeromedical Retrieval

Bleeding Noses

I’ve never been much of a fan of epistaxis – it’s messy, has the potential for life-threatening exsanguination – and involves fiddling around in tight spaces. My last ‘big bleed’ was in an elderly patient, over-anticoagulated on warfarin with a posterior bleed. Not reassured by her BP of 110 (usually 150) and HR of 90

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