Page 132 - 2021 IDMT Digital

EPISTAXIS
Introduction:
• (SLVWD[LV LV DQ H[WUHPHO\ FRPPRQ SUREOHP
o )DFWRUV LQFOXGH QRVH SLFNLQJ IRUHLJQ ERGLHV IRUFHIXO QRVH EORZLQJ UKLQLWLV
GU\QHVV RI WKH QDVDO PXFRVD K\SHUWHQVLRQ DQG GUXJ DQG DOFRKRO XVH
o RI EOHHGLQJ LV LQ WKH DQWHULRU VHSWXP LQ .LHVVHOEDFK¶V SOH[XV
Subjective:
• 6LJQV DQG 6\PSWRPV
o %OHHGLQJ IURP RQH RU ERWK QRVWULOV
• )RFXVHG +LVWRU\
o $JH RI SDWLHQW UHFHQW WUDXPD LQFOXGLQJ QRVH SLFNLQJ UHFHQW LOOQHVV RU UXQQ\
QRVH IDPLO\ KLVWRU\ RI EOHHGLQJ GLVRUGHU KRZ PDQ\ HSLVRGHV OHQJWK RI HSLVRGHV
DQG GLIILFXOW\ FRQWUROOLQJ
Objective:
• 3K\VLFDO ([DP
o (YDOXDWH EORRG SUHVVXUH
o 2QFH WKH DFXWH HSLVRGH KDV SDVVHG FDUHIXO H[DPLQDWLRQ RI WKH QRVH DQG
SDUDQDVDO VLQXVHV WR UXOH RXW QHRSODVLD DQG KHUHGLWDU\ KHPRUUKDJLF
WHODQJLHFWDVLD
o 8VH RWRVFRSH WR H[DPLQH IRU DQ\ VZROOHQ VRIW FRPSUHVVLEOH PDVV FRQVLVWHQW
ZLWK D KHPDWRPD
Assessment:
• 'LIIHUHQWLDO
o 3RVWHULRU QRVH EOHHG RI QDVDO EOHHGLQJ RULJLQDWHV KHUH DQG LV DVVRFLDWHG ZLWK
DWKHURVFOHURWLF GLVHDVH DQG K\SHUWHQVLRQ ROGHU SDWLHQWV
o 8QVXFFHVVIXO DWWHPSWV WR WUHDW DQWHULRU EOHHG LV DQ HPHUJHQF\
o %OHHGLQJ GLVRUGHU UHFXUUHQW HSLVRGHV RU SURIXVH EOHHGLQJ
Plan:
• 'LUHFW 3UHVVXUH
o &RQWLQXRXV SUHVVXUH RQ QDUHV IRU PLQXWHV
• +DYH WKH SDWLHQW VLW DQG OHDQ VOLJKWO\ IRUZDUG
• 0HGLFDWLRQV
o 2[\PHWD]ROLQH DQG SKHQ\OHSKULQH
• :KHQ YLVLEOH
o %OHHGLQJ VLWH PD\ EH FDXWHUL]HG ZLWK VLOYHU QLWUDWH
• $V D ODVW UHVRUW DQWHULRU QDVDO WDPSRQDGH RU SDFNLQJ PD\ EH QHHGHG

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