“Nose bleeds occur in those who are beginning to have feeling of lust or who are getting the signs of manliness.”

Hippocrates 4th century BC.

**Ingested button batteries are an emergency – see departmental guidelines**

Learning resources

1. RCEM Learning
   • Zygomatic Complex and Nasal Injury
   • Mandible and TM joint injuries
   • Dental Emergencies
   • Epistaxis
   • Acute Sore Throat
2. EmergencyMedicineIreland.com
   • Anatomy of the nasal cavity
3. StEmlyn’s post on ingested button batteries – see ED guidance on the intranet for management and more special circumstances such as sharp object, large objects, magnates and types of metal.
4. Facial injuries – for 1:1 teaching
5. Life in the fast lane – Epistaxis
6. Full EMJ review article on managing epistaxis from 2005
7. Below is a video made by our ENT team on epistaxis management – enjoy!

Interpreting imaging

• Radiology Masterclasses
  • Facial x-rays
  • Mandible x-rays
  • Gallery of common fractures (4 pages)
• Norwich Image Interpretation Course – Facial bones
• Free 25min module from eLFH Radiology on Facial trauma, Dental Radiography and Dental Pathology

Radiology folder

• If you see an interesting x-ray which would be useful for educating your colleagues then just drag and drop it into the anonymised folder ‘ED Abnormalities’ on our PACs system.