Pediatric Epistaxis
No
Active
bleeding from
the nose?
Yes
Active
bleeding in
postierior
oropharynx
Yes
Compress nose with
Direct pressure
Tilt head forward
Position of comfort
No
Sinificant or
Multi-system
Trauma
General Adult Assessment
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Bleeding
Controlled?
Would the patient tolerate
nasal spray administration?
Yes
No
Have Patient Blow Nose
Suction Active Bleeding
Oxymetazoline 2 Sprays to
each nostril.
Followed by direct pressure
No
Yes
General Adult Assessment
Continue Assessment
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