Nosebleeds are a common occurrence, but they’re surrounded by myths and misconceptions. As future nurses, it’s essential to know the approved medical techniques to manage nosebleeds safely and effectively. Following evidence-based practices can prevent complications and ensure patient safety.
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Common Causes of Nosebleeds
Understanding what triggers nosebleeds can help in prevention and care.
Forceful nose blowing
High blood pressure
Dry weather conditions
Trauma to the nose
Bleeding disorders
Broken Nose: Recognize and Respond
A broken nose often results from trauma and is characterized by symptoms such as pain, swelling, bruising around the eyes, difficulty breathing through the nose, or a visible deformity. To provide First Aid, ensure the person is in a safe environment and have them sit upright to reduce swelling. Apply a cold pack wrapped in cloth to the nose for up to 15 minutes at a time to minimize pain and swelling. Do not attempt to straighten a crooked nose, as this could worsen the injury—leave alignment to medical professionals. If bleeding is present, follow the standard nosebleed care instructions, but avoid excessive pressure. Always encourage the person to seek prompt medical evaluation to assess the severity of the fracture and rule out complications.
Prevention Tips
As a healthcare professional, prevention is as crucial as treatment:
Always wear PPE (Personal Protective Equipment) when available.
Use a humidifier in dry indoor environments.
Take appropriate safety precautions during physical activities.
Encourage gentle nose blowing to avoid strain on nasal tissues.
What a Nosebleed Looks Like
Blood coming from one or both nostrils
May vary from a fast flow to a slow drip
How to Respond to a Nosebleed
Step 1: Check the Scene
Ensure the area is safe before approaching. Assess the person’s ABCs (Airway, Breathing, Circulation).🧤 Always wear gloves or PPE to avoid contact with bodily fluids.
Step 2: Call for Help
Dial 911 if:
The bleeding lasts more than 15 minutes.
There’s an object lodged in the nostril.
The nosebleed results from a medical condition or head injury.
Step 3: Provide Care
Sit the person down and have them lean slightly forward to prevent blood from entering the throat.
Pinch the nostrils together for 10-15 minutes to apply direct pressure.
Once bleeding stops, advise the person to avoid rubbing, blowing, or picking their nose to prevent rebleeding.
If the person loses consciousness, position them on their side (recovery position) to allow blood to drain safely.
For nosebleeds caused by a head injury, do not pinch the nose—seek emergency medical attention immediately.
Handling Objects in the Nostril
If the object is easily visible and graspable, gently remove it. Stop immediately if resistance occurs or if the person’s head moves forward—seek medical assistance.
Never probe inside the nostril, as this could worsen the injury.
Why Preparedness Matters
Emergencies don’t announce themselves. Having the right training equips you to make a difference in critical moments.
⚠️ Disclaimer: This information is for educational purposes only and is sourced from trusted organizations, including the Canadian Red Cross, Heart & Stroke Foundation, and Alberta Health Services. It should not replace professional medical advice or training.
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This material is for informational purposes only, derived from resources provided by The Canadian Red Cross, Alberta Heart & Stroke Foundation, and Alberta Health Services. It is not a substitute for professional medical advice, training, or treatment. Consult your local physician or safety training facility for further guidance.
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Author - Saving Grace Medical Academy Ltd
Jason T
Retired EMT - Heart & Stroke Foundation Senior Instructor