EMS Airway Management Tips

Related Categories: AEDs  -  CPR & Resuscitation  -  Ambulance Disposable Supplies

EMS Airway Management Sponsors

Featured Distributors

Featured Product

Featured Product Categories

EMS Airway Management Tips

From the Editor
by Greg Friese, Editor-in-Chief

Nosebleed control and treatment tips

Updated November 18, 2015

The nose filters, humidifies, and warms air as it passes through the nose, mouth, and into the trachea. The nose is a combination of soft tissue, cartilage, and bone. It is rich with arterial blood vessels with forward flow, progressively warming incoming air. If the nose is physically traumatized, the underlying facial bones responsible for nose, skull, and eye formation may become injured as well.

Most nosebleeds are known as anterior nosebleeds and occur in the front (anterior) of the nose. Facial trauma, falls, collisions, nose picking, and irritation from a foreign body or cold air are some known causes of this type of nosebleed. Anterior nosebleeds typically involve only one nostril, with blood visibly draining out of the nasal openings.

Posterior nosebleeds are less common and are generally derived from an arterial source from the back (posterior) of the nasal cavity. Posterior bleeding usually drains into the mouth, frequently causing the affected individual to spit or swallow blood. If swallowed, the blood can either obstruct the upper airway or induce vomiting.

General treatment for any nosebleed:

  1. Blow nose to remove any poorly formed clots.
  2. Apply well-aimed direct pressure by firmly pinching the nose with thumb and pointer finger.
  3. Lean forward to minimize swallowing blood.
  4. Spit blood out of mouth.
  5. Do not let the patient swallow blood, as it is very irritating to the stomach.
  6. Maintain pressure for 10-15 minutes before inspecting.

Applying ice to the upper lip or neck has little or no effect on blood flow. Focus treatment on well-aimed direct pressure and keeping the airway free of blood.

About the author

Greg Friese, MS, NRP, is Editor-in-Chief of EMS1.com. He is an educator, author, paramedic, and marathon runner. Ask questions or submit tip ideas to Greg by e-mailing him at greg.friese@ems1.com.
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff. If you cannot see comments, try disabling privacy and ad blocking plugins in your browser. All comments must comply with our Member Commenting Policy.