Initial history

("Epistaxis" by Welleschik is licensed under CC BY-SA 3.0)

She says that the bleeding began over an hour and a half ago and is from both sides of the nose. It has persisted despite her attempts to apply compression to the “bridge of the nose”, as advised by her friend.

What first aid management should this patient have adopted? (There may be several correct options)

  • Sit with the upper part of her body tilted forward, and with her mouth open
  • Pinch the entire lower compressible cartilage of her nose
  • Tilt her head back and breath through her nose
  • Seek further medical assistance after 30 minutes of bleeding
  • Compress the bony part of her nose

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Map: Student authored virtual patients for undergraduate medical education (345)
Node: 10583
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OpenLabyrinth
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  • START
  • Jag bedömer att patienten har en massiv blödning. Planerar åtgärda detta först.
  • Document Frank's Initial Assessment
  • Introduction
  • Compare to normal values
  • Adele
  • Ošetrovateľská diagnóza – Definujúce charakteristiky
  • Informácie
  • Start Broad spectrum antibiotics and arrange a CT brain scan
  • More info about OpenLabyrinth
  • change management
  • Joan Pitnec
  • Statement regarding Medical Accuracy
  • Call the Physician
  • choice 4
  • James Laststand
  • SJT ranking set
  • Lab
  • Angelo Rossi, son, student, lives with parents (Time 1 hour)
  • Physical exam
  • Πρώτη επίσκεψη_πηγαίνετε μόνη σας
  • Consults
  • Plasmalyte Fluid 500ml given over 5 minutes
  • Other symptoms
  • Pracujete ako pôrodná asistentka v prenatálnej poradni
  • Introduction
  • >>Finish
  • physiotherapy for balance training
  • gentamicin ear drops
  • Basic metabolic panel
  • inform Motor Vehicles office
  • U gaat verder met exploreren.
  • Check out the LRS
  • Imagerie and Tests
  • Case study
  • Ošetrovateľská diagnóza – Definujúce charakteristiky
  • Follow up actions
  • Πρώτη επίσκεψη_πηγαίνετε με τον γιατρο της
  • Ošetrovateľská diagnóza – Definujúce charakteristiky
  • Prostin
  • Give paracetamol, observe for 6 hours then review
  • Ošetrovateľská diagnóza – Definujúce charakteristiky
  • Omstart
  • amitriptyline 250mg
  • Vital signs
  • whole Rossi Family together (Time 2 hours)
  • Tony Rossi, son completed his residency in emergency medicine lives in another city (Time 1 hour)
  • U geeft een uitleg over de klacht
  • Initial history

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