Want to track your progress? You can complete this SAQ as a guest, but logging in to a free account lets you save attempts, review scores, and see your progress by category. Log in or create an account .

A 79-year-old woman is brought from home with ongoing severe epistaxis. She has atrial fibrillation, hypertension and rheumatoid arthritis, and takes digoxin, amlodipine and dabigatran. She has 2 large bore IV cannulas in situ and non-invasive monitoring applied. Vitals are as follows :

  • HR 115
  • BP 75/40
  • RR 24
  • GCS 14 (E3V5M6)

1. List 4 options for controlling the bleeding in the emergency department with one pro and one con for each. 8 marks

β˜… β˜… β˜… β˜… β˜…

2. Briefly state 4 additional steps in your initial management. 4 marks

β˜… β˜… β˜… β˜… β˜…

3. If the patient was needing intubation, state airway modifications with rationale that you would institute. 2 marks

β˜… β˜… β˜… β˜… β˜