PT - JOURNAL ARTICLE AU - A Dai AU - E Jurges TI - The problem with nose bleeds DP - 2005 Aug 01 TA - Emergency Medicine Journal PG - 596--597 VI - 22 IP - 8 4099 - http://emj.bmj.com/content/22/8/596.short 4100 - http://emj.bmj.com/content/22/8/596.full SO - Emerg Med J2005 Aug 01; 22 AB - Epistaxis is common in the paediatric population and is usually minor and self limiting. This case illustrates an atypical presentation of epistaxis with hypovolaemic shock due to a dissecting false aneurysm of the internal carotid artery caused by an impalement injury to the oropharynx.