TY - JOUR T1 - An unusual cause of massive fatal epistaxis JF - Emergency Medicine Journal JO - Emerg Med J SP - 266 LP - 266 DO - 10.1136/emj.2003.008235 VL - 21 IS - 2 AU - F Urso-Baiarda AU - N Saravanappa AU - R Courteney-Harris Y1 - 2004/03/01 UR - http://emj.bmj.com/content/21/2/266.1.abstract N2 - 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 … ER -