Ideally in any case epistaxis diagnostic nasal endoscopy needs to be performed to identify area of bleeding. In diffuse bleeding just packing for couple of days is sufficient but if it is small artery which is bleeding then cauterization is ideal though packing also works. Cause needs to be identified if bleeding reccurs which may be hypertension, nose infection, bleeding disorder etc
Next Steps
Consult nearby ENT specialist for confirmation of diagnosis and appropriate treatment if required