Epistaxis - doing anything different?

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Specializes in school nursing, ortho, trauma.

Just doing a little last minute ordering and spying the extensive orificenal of nosebleed dressings and rhino rockets in the School Health catalogue. Anyone using any of these packings or quick clot type things? I basically stick to pressure, vaseline, and ice packs - but maybe someone can open my eyes to some of these other interventions. I also wonder if I would need an order to use these type of things.

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Specializes in School Nursing.

I have the student hold firm steady pressure with a tissue for 5 minutes. I have never needed further intervention than that.

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Specializes in Maternal - Child Health.

Just the basics. I don't stick anything up there other than a bit of tissue.

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Specializes in Med-Surg; Telemetry; School Nurse pk-8.

I'm with Purple Scrubs and Jolie. However, if this product could actually keep kids from sticking their fingers up their noses, thus preventing the nose-bleed.... SIGN ME UP! LOL

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Specializes in school nursing, ortho, trauma.

ok - thanks all. Like i said- i'm doing the same as you - just wanted to make sure i wasn;t missing out on anything neat ;)

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I spoke w. our pediatrician about those products and was told they're not safe to use w. young children (I was asking about less than 6 y/o. Not sure if it would be different w. an older kid).

I agree: have the child pinch the nares and hold for ten mins (I'm tough! Not 5!). Those who use ice: are you putting it on the back of the neck or where? Thansk!

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Specializes in school nursing, ortho, trauma.

ice pack to back of the neck if it won't slow down after a few minutes of pressure. Also have a thing called a "nosebud" that is a little ice pack for the nose - seems to work well too.

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Specializes in Peds, School Nurse, clinical instructor.

I use pressure and ice although I use the ice on the bridge of the nose as well as behind the neck. Flare, what do you use vaseline for? Just curious.....

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Specializes in school nursing, ortho, trauma.

After it gets under control, a little vaseline on an applicator up the nares will keep it from bleeding again- especially if it's a "dry heat" induced nosebleed. It will also deter a kindergartener from digging up there ;)

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