Nosebleeds can happen for many reasons such as trauma to the nose, dry skin inside the nose or from use of certain medications. Nosebleeds usually start in the septum which separates the nostrils, and though scary for the amount of blood that can accumulate, can often be managed with first aid. Some nosebleeds, however, can start deeper in the nose and be harder to control. A nosebleed not controlled by first aid, that is sustained from head trauma, or that is being experienced by someone using blood thinners, should be medically treated.
Sitting
Sitting is the preferred position for someone experiencing a nosebleed, both for safety and for applying first aid. Someone with a nosebleed may become lightheaded or dizzy and be at risk of falling whether from blood loss or the mental stress of experiencing the nosebleed. The patient should sit upright, or in the case of a child, on a parent’s lap in a sturdy chair. The patient can then place her elbows on her and lean slightly forward, with head tipped down, chin near the chest. This allows blood to run freely from the nose and not down the back of the throat, which the Mayo Clinic states can irritate the stomach if swallowed.
Direct Pressure
Adding direct pressure to the nose during a nosebleed interrupts blood flow and allows blood to clot more easily. During a nosebleed, pressure is applied by pinching the nostrils shut. Harvard Medical School suggests pinching the entire soft part of the nose just above the nostrils to clamp off bleeding. Holding direct pressure for 5 to 10 minutes is often enough to significantly slow or stop the bleeding. If after 10 minutes the nosebleed continues, pressure can be held for an additional 5 minutes. The Mayo Clinic advises that medical care should be sought if a nosebleed lasts for 20 minutes or longer.
Ice
Using cold therapy can help blood flow slow down and facilitate clotting. Using ice during a nosebleed may be helpful by wrapping several ice cubes in a towel and applying it directly over the bridge of the nose. The towel can then be pinched with the ice inside over the nostrils to help control bleeding. Ice therapy should be discontinued if the nasal skin becomes irritated or painful from contact with the cold towel.
About this Author
Based in Wisconsin, E. Otto is a licensed Emergency Medical Technician-Intermediate with 10 years experience in the field and holds an Associate of Science Degree in Medical Assisting from Commonwealth College.She has worked as a copywriter and freelance writer for private clients since 2006.
