What is the initial step in management of epistaxis?

What is the initial step in management of epistaxis?

• A. Primary assessment/ABC's
• B. O2 if SpO2 <94% or respiratory distress
• C. Transport to closest facility
• D. Prepare to suction as needed

Answer: (A)

Begin with the primary survey to secure life threats before treating a localized bleed. The most important step is to ensure the airway is open, the patient is breathing adequately, and circulation is maintained. Epistaxis can quickly lead to airway compromise or hypovolemia if bleeding is heavy, so you address ABCs first rather than jumping straight to stopping the nosebleed. Once the airway and breathing are stabilized, you can add steps like supplemental oxygen for low SpO2 or distress, suctioning to clear blood, and deciding on transport if the patient remains unstable. Prioritizing ABCs keeps the patient safe and sets the stage for effective management of the nasal bleed.

Begin with the primary survey to secure life threats before treating a localized bleed. The most important step is to ensure the airway is open, the patient is breathing adequately, and circulation is maintained. Epistaxis can quickly lead to airway compromise or hypovolemia if bleeding is heavy, so you address ABCs first rather than jumping straight to stopping the nosebleed. Once the airway and breathing are stabilized, you can add steps like supplemental oxygen for low SpO2 or distress, suctioning to clear blood, and deciding on transport if the patient remains unstable. Prioritizing ABCs keeps the patient safe and sets the stage for effective management of the nasal bleed.