RT Journal Article SR Electronic T1 The problem with nose bleeds JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 596 OP 597 VO 22 IS 8 A1 A Dai A1 E Jurges YR 2005 UL http://emj.bmj.com/content/22/8/596.abstract 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.