A seemingly routine pediatric nosebleed quickly became one of the most frightening cases of my career when a five-year-old with undiagnosed immune thrombocytopenia (ITP) developed life-threatening epistaxis. In this episode, we walk through the case and explore why dissolvable hemostatic agents may be an underutilized first-line option, incorporating insights from ENT that may change your practice the next time pressure, Afrin, and traditional packing fail.

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