Browse categories and answer follow-up questions to refine your symptom profile.
Triage and immediate threats
Initial priorities
Airway risk from active posterior bleeding
If inability to clear blood or altered mental status, airway management escalation
Hemorrhagic shock risk
If hypotension or syncope, resuscitation bay escalation
Uncontrolled bleeding despite first aid
If continuous brisk bleeding after 10 to 15 minutes compression, advanced hemostasis pathway
High risk features
Suspected posterior source
Anticoagulant or antiplatelet therapy
Known bleeding disorder
Hereditary hemorrhagic telangiectasia
Facial trauma
Monitoring and access
Monitoring setup
Continuous pulse oximetry
Oxygen if hypoxemia or significant ongoing blood loss
Cardiac monitoring for significant bleeding or posterior packing
Dysrhythmia risk with posterior packs and hypoxia
Two large bore IV access if moderate to severe bleeding
Type and screen if transfusion plausible
Hemostatic positioning and first measures
First measures
Upright posture with slight forward lean
Oropharyngeal suction readiness
Direct compression of soft anterior nose
Continuous compression without frequent release
High success rates reported with proper compression
Topical vasoconstrictor adjunct
Oxymetazoline or phenylephrine with compression per guideline first line options
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.