Heavy nosebleed

Instructions

You are an intern in the emergency department. Your next patient is Dimitri Papadopoulos, 78, brought in by ambulance from Mandurah with a heavy nosebleed that began two hours ago and has not settled. He feels faint.

1. 1

   Assess and manage the patient using an A to E approach

2. 2

   Outline to the examiner:

   • Your most likely diagnosis
   • Next steps in management, including relevant investigations

• A nurse will carry out your instructions; describe procedures rather than doing them
• You do not need to take a full history
• You do not need to summarise your findings