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Clinical Practice Guideline: Nosebleed (Epistaxis)

Clinical Practice Guideline: Nosebleed (Epistaxis)

This guideline was published in the January 2020 issue of Otolaryngology–Head and Neck Surgery.

Clinical Practice Guideline: Nosebleed (Epistaxis) published in Otolaryngology–Head and Neck Surgery on January 7. This clinical practice guideline (CPG) is intended for all clinicians who evaluate and treat patients with nosebleed. The target population for the guideline is any individual aged three years or older with a nosebleed or history of nosebleed who needs medical treatment or seeks medical advice. The purpose of this multidisciplinary CPG is to identify quality improvement opportunities in managing patients with nosebleeds and to create explicit and actionable recommendations to implement these opportunities in clinical practice. The goals outlined in this CPG are to promote best practices, reduce unjustified variations in care of patients with nosebleed, improve health outcomes, and minimize the potential harms of nosebleed and/or interventions to treat nosebleed.

Leadership: David E. Tunkel, MD (Chair); Samantha Anne, MD, MS (Assistant-Chair); Spencer C. Payne, MD (Assistant-Chair); Stacey L. Ishman, MD, MPH (Methodologist); Richard M. Rosenfeld, MD, MPH, MBA (Methodologist).

Guideline Development Group: Peter J. Abramson, MD; Jacqueline D. Alikhaani; Margo McKenna Benoit, MD; Rachel S. Bercovitz, MD, MS; Michael D. Brown, MD, MSc; Boris Chernobilsky, MD; David A. Feldstein, MD; Jesse M. Hackell, MD; Eric H. Holbrook, MD; Sarah M. Holdsworth, MSN, APRN; Kenneth W. Lin, MD, MPH; Meredith Merz Lind, MD; David M. Poetker, MD, MA; Charles A. Riley, MD; John S. Schneider MD, MA; Michael D. Seidman, MD; Venu Vadlamudi, MD; Tulio A. Valdez, MD; Lorraine C. Nnacheta, MPH, DrPH; Taskin M. Monjur.


American Academy of Pediatrics (AAP)

American College of Emergency Physicians (ACEP)

American College of Radiology (ACR)

American Rhinologic Society (ARS)

American Society of Hematology (ASH)

American Society of Pediatric Otolaryngology (ASPO)

Cure Hereditary Hemorrhagic Telangiectasia (Cure HHT)

Society of Interventional Radiology (SIR)

Society of Neurointerventional Surgery

Society of Otorhinolaryngology and Head-Neck Nurses (SOHN)

The Triological Society

Affirmation of Value:

Amerian Academy of Family Physicians (AAFP) 

American Geriatrics Society (AGS)
Affirmation of value means that AGS supports the general principles in this document and believes it is of general benefit to its membership.

Additional Information

For Physicians