A 62-year-old man presents to the emergency department (ED) with a sudden onset of nosebleed that has been ongoing for the past 45 minutes. He states that the bleeding began spontaneously while he was sitting at home watching television. He denies any trauma, recent nasal infections, or foreign body insertion. He also reports experiencing similar episodes over the past few months, though none have lasted this long or been as heavy. He is currently taking ramipril, atorvastatin, aspirin, bisoprolol due to a previous acute coronary syndrome.