Severe Epistaxis in the Pediatric Patient: A Simulation for Emergency Department Management.

epistaxis hemorrhagic shock liver disease nasal packing pediatric emergency simulation volume resuscitation

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2022
Historique:
accepted: 03 08 2022
entrez: 15 9 2022
pubmed: 16 9 2022
medline: 16 9 2022
Statut: epublish

Résumé

Severe, uncontrolled epistaxis in a pediatric patient can lead to a compromised bloody airway and the potential need for significant volume resuscitation secondary to hemorrhagic shock if not managed emergently. In this report, a simulated 11-month-old patient with underlying liver disease presents to the emergency department setting. The goal was to familiarize advanced pediatric emergency medicine trainees and experienced providers with immediate bedside interventions and clinical management steps for a patient with severe, difficult-to-control epistaxis to increase preparedness for future clinical scenarios. Additionally, this case highlights resuscitation considerations for patients with liver disease, including sources of bleeding, consulting services, medications, and approach to massive transfusion in liver disease.

Identifiants

pubmed: 36106282
doi: 10.7759/cureus.27784
pmc: PMC9451106
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e27784

Informations de copyright

Copyright © 2022, Gorbatkin et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Olivia Gorbatkin (O)

Pediatrics, University of Washington, Seattle, USA.

Jean Pearce (J)

Pediatrics, Medical College of Wisconsin, Milwaukee, USA.

Monique Goldschmidt (M)

Gastroenterology and Hepatology, Nationwide Children's Hospital, Columbus, USA.

Anita Thomas (A)

Pediatric Emergency Medicine, Seattle Children's Hospital, Seattle, USA.

Elizabeth Sanseau (E)

Pediatric Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

Daisy Ciener (D)

Pediatric Emergency Medicine, Vanderbilt University Medical Center, Nashville, USA.

Regina Toto (R)

Pediatric Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

Ashley E Keilman (AE)

Pediatric Emergency Medicine, Seattle Children's Hospital, Seattle, USA.

Classifications MeSH