RT Journal
A1 Flynn JT
T1 DEath and epistaxes
JF JAMA
JO JAMA
YR 1969
FD January 20
VO 207
IS 3
SP 562
OP 562
DO 10.1001/jama.1969.03150160074026
UL http://dx.doi.org/10.1001/jama.1969.03150160074026
AB To the Editor:— 
    Physicians think of clotted blood as a hazard largely in intravascular areas; they welcome clot formation when faced with internal or surface bleeding. The lowly epistaxis is passed over hurriedly but it can, unnoticed, quietly suffocate the patient.Report of Cases:— 
    Emergency resuscitation after trauma to the head led to the discovery of a large blood clot overlying the larynx, with recovery of respiratory function following removal.Marked narrowing of tracheal and bronchial airways by a thick layer of clotted fibrin and blood was found at autopsy in a man who died in uremic coma.A similar massive clot was found in the posterior portion of the pharynx of a man who died in hepatic coma.Nasal packing for epistaxis resulted in the accumulation of a mass of clotted blood in the trachea and larynx with increasing respiratory distress. A large mass of