61 Epistaxis


There are two types of nosebleeds:

  1. Anterior (more common)
    • The source of 90% of anterior nosebleeds lies within Kiesselbach’s plexus (also known as Little’s area) on the anterior nasal septum
  2. posterior (less common, but more likely to require medical attention). 
Common causes

Trotter’s method

  • patient is made to sit,
  • leaning a little forward over a basin to spit any blood,
  • and breathe quietly from mouth

Cont up until 10min

cold compresses should be applied to nose to cause reflex vasoconstriction.


  1. Tabassom A, Cho JJ. Epistaxis. [Updated 2022 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK435997/
  2. https://www.osmosis.org/answers/epistaxis