A study of the knowledge and attitude of physicians in the first aid management of epistaxis in Aseer region, Saudi Arabia


  • Abdullah Musleh Department of Otolaryngology, Head and Neck Surgery, King Khalid University, College of Medicine, ‎Riyadh, Saudi Arabia
  • Sarah Ali AlShehri Department of Otolaryngology, Head and Neck Surgery, King Khalid University, College of Medicine, ‎Riyadh, Saudi Arabia
  • Anas Mohammed AlShehri Department of Otolaryngology, Head and Neck Surgery, King Faisal Medical City, Riyadh, Saudi Arabia
  • Sultan Khalid Kadasah Department of ENT, King Abdullah Hospital, Bisha, Saudi Arabia
  • Mohammed Sharaf Alshahrani Department of Ophthalmology, Aseer Central Hospital, Abha, Saudi Arabia
  • Abdulelah Mohammed Almuqaytif Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  • Abdullah Mohemmed Alsuayri Department of Otolaryngology, Head and neck, Aseer hospital, Abha, Saudi Arabia




Epistaxis, Nasal bleeding, Bleeding per nose, Nasal trauma, Awareness, Attitude, Knowledge


Background: Epistaxis is the common occurrence of bleeding from the nose. It is usually noticed when blood drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, more likely to require medical attention). Sometimes in more severe cases, the blood can come up the nasolacrimal duct and out from the eye.

Methods: A cross-sectional study was conducted in main five hospitals in Aseer region targeting residents dealing with emergency room (ER) cases during the period from 1st July to 31st July, 2018. Data were collected using a pre-structured written questionnaire by the researchers. The questionnaire composed of three parts. First part was for residents’ demographic data. Second part considered epistaxis cases rate and treatment. Third part covered 10 questions for knowledge regarding epistaxis.  

Results: A total sample of 165 residents was involved with ages ranged from 27 years to 32 years old and 65.5% of the sampled residents were males. Exact of 47.3% of the residents were ER residents and 24.2% were general practitioners (GPs).

Conclusions: Nearly one out of each four residents had good awareness level regarding epistaxis especially GPs and ER residents. Position of patients with epistaxis and sites of epistaxis were the only items well known by residents. 


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Original Research Articles