All patients with posterior epistaxis should have emergent consultation with an otolaryngologist. Attempts at controlling bleeding with the appropriate balloon technique should not be delayed pending the arrival of a specialist physician. Because of the potential for serious morbidity and mortality associated with posterior packing, patients are usually admitted for observation. They may need sedation secondary to severe discomfort and require monitoring for hypoxia. Prophylactic antibiotics are generally given (see anterior packing).
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