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An unusual cause of massive fatal epistaxis
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  1. F Urso-Baiarda,
  2. N Saravanappa,
  3. R Courteney-Harris
  1. Department of Otolaryngology and Head and Neck Surgery, University Hospital of North Staffordshire, Hartshill, Stoke On Trent, UK
  1. Correspondence to:
 Mr F Urso-Baiarda
 Department of Burns and Plastic Surgery, The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK; fulviodoctors.org.uk

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A 90 year old woman was admitted to our accident and emergency department with spontaneous brisk epistaxis. On arrival she was profoundly hypotensive and unresponsive. Her airway and breathing were managed according to Advanced Life Support protocol. Volume resuscitation was started and intranasal packs used in an attempt to …

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