March 14, 2011 by dailybolusoflr
For those of you who saw this at medical minute today, I apologize for the repeat. But I got such an overwhelming positive response, I figured I would disseminate more widely!
For control of anterior epistaxis, you can create your own compression tool using two tongue depressors and some tape.
1. Place the tongue depressors together.
2. Using tape, firmly attach the top 1/3 by wrapping the tape tightly around the two tongue depressors.
3. Open the untapped ends and apply as a clamp to place comfortable firm pressure to the nose by compressing the nasal alae into the septum
4. Have the patient gargle with water to rid the posterior pharynx of blood
5. You can check to make sure you have obtained proper hemostasis by now inspecting the back of the throat
You can view a picture here on the ACEP website
Linda Regan, MD FACEP
Program Director, Emergency Medicine Residency
Johns Hopkins Medical Institutions