Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- severe or persistent epistaxis
For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.
Central Adelaide Local Health Network
Northern Adelaide Local Health Network
Southern Adelaide Local Health Network
- Flinders Medical Centre (08) 8204 5511
Category 1 — appointment clinically indicated within 30 days
- epistaxis with suspicion of a tumour on imaging, specify on referral
Category 2 — appointment clinically indicated within 90 days
- unilateral epistaxis in adolescent male aged 16 to 18 suspicion of juvenile nasopharyngeal angiofibroma (JNA)
Category 3 — appointment clinically indicated within 365 days
- epistaxis not responding to maximal medical management for > 6 to 8 weeks e.g. topical creams, no nose picking, manage allergic rhinitis
- epistaxis - please describe frequency and duration
- minor recurrent epistaxis
For information on referral forms and how to import them, please view general referral information.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- identifies as Aboriginal and/or Torres Strait Islander
- identify within your referral if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
- interpreter requirements
- presenting complaint history and symptoms including:
- vision disturbance
- dental malignancy
- cerebrospinal fluid (CSF) leak
- details of previous medical management including:
- systemic and topical medications prescribed
- duration and outcome of the treatment
- current medication list including any:
- nonsteroidal anti-inflammatory drugs (NSAIDs)
- aspirin or warfarin and
- complete blood exam (CBE)
- coagulation profile
- relevant reports and results
Additional information to assist triage categorisation
High resolution computerised tomography (CT) if concerns of juvenile nasopharyngeal angiofibroma (JNA), including company and accession number.
Clinical management advice
Medical management (refer to The Royal Australian College of General Practitioners (RACGP) Epistaxis Guidelines) and consider investigation for:
- clotting disorders
- hypertension/management of hypertension