• Dr. Kaitlin Dupuis MD CCFP

Epistaxis Management Mnemonic

When faced with a patient with epistaxis, use this mnemonic to think broadly and consider "What else can it be?"

TIME to stop the BLEED:

T - TRAUMA: nose picking, fractures I - INFECTION: Sinusitis, rhinitis M - MEDS: coumadin, ASA, clopidogrel, thrombin inhibitors, Factor Xa inhibitors E - EXOGENOUS AGENTS: cocaine, foreign bodies, nasal sprays, dry air

BLEEDing: Von Willebrands, thombocytopenia, hemophilia, or bleeding disorder

With any bleed, be sure to ensure that the patient is stable! Remember with any patient who has a bleed (even if it's a mild nosebleed, a heavier-than-usual menstrual period, spotting during pregnancy, or rectal bleeding) it's crucial that you consider, assess, and document that the patient has been assesed for stability.

The Review Course has developed several exam habits that will help you automatically consider these factors on the exam. To all of you signed up for The Review Course - we look forward to meeting you in person in just a few weeks!

If you haven't signed up yet, sorry but we are now SOLD OUT. You can still sign up for our waitlist.

Image credit: "Epistaxis1" by I, Welleschik. Licensed under CC BY-SA 3.0 via Wikimedia Commons - https://commons.wikimedia.org/wiki/File:Epistaxis1.jpg#/media/File:Epistaxis1.jpg

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The only Canada-Wide CCFP exam course - created by two Family Doctors who wished this existed when we were residents, and are on a mission to help CCFP exam candidates. Disclosures: The Review Course founders have no conflicting commercial interests. As is the case with any private events hosted on a university campus or hospital, this event is not affiliated with nor endorsed by the host venues. Our materials are peer-reviewed and prepared by Canadian physicians; we do not guarantee that our preparation materials are representative of any Canadian examination and we do not provide questions from any other examination nor are they intended as medical advice. The College of Family Physicians of Canada does not affiliate with nor endorse any exam preparation course.