Epistaxis is a common problem in the medical practice, and most cases have minimal loss of blood. However, if it continues to bleed profusely it needs management of epistaxis, conservative or surgical. We retrospectively reviewed 27 patients referred to our service with epistaxis from September 1998 to August 1999. The age ranged from 5 to 85 years old, usually males. Clinical factors were observed: anatomical alteration of the nose, systemic disease, and anticoagulants. The treatment established was: chemical cautery (29,6%), anterior packing (22,2%) and anteroposterior packing (48,1%). It is concluded that clinical treatment offers good results to severe epistaxis.