Managing epistaxis and identifying who may have a bleeding disorder

An “old wives’ tale” has persisted in the treatment of anterior epistaxis. A practice article in CMAJ entitled, "Five things to know about anterior epistaxis" discusses what many are doing wrong and the proper way to treat anterior epistaxis. On this episode, co-author and rhinologist Dr. Leigh Sowerby elaborates on the causes and the full suite of options for treating this common cause for emergency department visits.

Next, Drs. Bigham and Omole speak with Dr. Michelle Sholzberg, a hematologist and medical director of the coagulation laboratory at St. Michael's Hospital about how to determine if a patient may have a  bleeding disorder and needs investigation. Dr. Sholzberg discusses the usefulness of the INR and PTT and then goes on to call out structural sexism in hematology, and in the diagnosis of bleeding disorders, in particular. 

"Five things to know about anterior epistaxis"
CMAJ

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