Clinical Case Database / Category: Practical Procedure

Practical management of epistaxis

Publication details

Brijendra P Shravat FRCSEd FCEM, Turan S Huseyin FRCS FCEM, Kilian A Hynes MRCP FCEM
Foundation Years Journal, volume 2, issue 2, p.71 (123Doc Education, London, February 2008)


A 75-year-old man presents to the emergency department with nose bleeding that started 1h previously and is not stopping. There is no history of trauma. He is on warfarin because of atrial fibrillation.

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Brijendra P Shravat FRCSEd FCEM (Corresponding author)

Consultant and Clinical Director in Emergency Medicine Barnet and Chase Farm Hospitals NHS Trust
Emergency Department
Barnet Hospital
Wellhouse Lane

Turan S Huseyin FRCS FCEM

Consultant in Emergency Medicine and Foundation Programme Training Director Barnet and Chase Farm Hospitals NHS Trust

Kilian A Hynes MRCP FCEM

Consultant in Emergency Medicine
Barnet and Chase Farm Hospitals NHS Trust


1. Bull PD. Lecture notes on Disease of the Ear, Nose and Throat. Blackwell Publishing, 2002.
2. Wyatt JP, Illingworth RN, Robertson CE, Clancy MJ, Munro PT. Oxford Handbook of Accident and Emergency Medicine. Oxford University Press, 2005.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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