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
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
e27784Informations 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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