Emergency Medicine Cases

Ep 223 Epistaxis Management: A Step-Wise Approach

September 29, 2026·1h 39m
Episode Description from the Publisher

Epistaxis is usually straightforward—until it isn’t. How can you distinguish an anterior bleed from a dangerous posterior bleed? What’s the best sequence for compression, vasoconstrictors, TXA, cautery and packing? When should you reach for an anterior balloon tampon or posterior dual balloon? And how do you manage the airway when torrential bleeding fills the oropharynx? In this Epistaxis Management Deep Dive, Anton is joined by emergency physician Dr. Leeor Sommer and otolaryngologist Dr. Doron Sommer for a practical step-wise approach to everything from the routine nosebleed to life-threatening hemorrhage... If you find EM Cases useful in your practice, please consider making a donation to help us keep producing free, open-access emergency medicine education here: https://emergencymedicinecases.com/donation/

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