CLINICAL MEDICINE

MEDICINE

RESPIRATORY MEDICINE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is the best treatment for mild epistaxis caused by a bump in the nose?
A
Pack the nose with gauze
B
Compress nostrils, tilt head slightly forward.
C
Cauterize the bleeder
D
Lay flat on the back, head back, and pack the nose with tissue
Explanation: 

Detailed explanation-1: -Gently pinch the nostrils closed for 5 to 10 minutes. Don’t stop pinching to check if bleeding has stopped. Apply a cold compress to the bridge of the nose. Don’t put tissues or gauze in your child’s nose.

Detailed explanation-2: -What to do. To stop a nosebleed: sit down at a table, lean forward and firmly pinch the soft part of your nose, just above your nostrils, for at least 10 to 15 minutes. lean forward and breathe through your mouth – spit out any blood that collects in your throat or mouth into a bowl; do not swallow any blood.

Detailed explanation-3: -Ice placed in the mouth however have been shown to produce a significant decrease in nasal mucosal flow up to 23% [3]. We suggest this is a more effective and evidence based method for stopping further bleeding and find it to be an effective adjunct with more posterior bleeds while definitive treatment is planned.

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