How to first aid when nosebleed? What to do if the patient has nosebleeds

I would like to say that a normal nosebleed is not a big deal, and I can't use such a serious word as first aid.

I have had many nosebleeds since I was a child, the most serious one was when my mother hit the nosebleed, and it was the most serious at that time, I was very scared to see the blood coming out of my nose, and then I just plugged my nose with paper. This is a well-known practice, try to tilt the avatar up, and then twist the tissue into the nostrils in a twisted shape and stuff it into the nostrils, and after a while, the nosebleeds will stop.

I remember hearing that you could use cold compresses on your forehead, but if it wasn't serious, it wasn't necessary. So when you have a nosebleed, the most important thing you need to do is to wash the other place first and then plug the nasal passages with paper. After that, see if the bleeding has stopped, if not, you can use cold water to cool your forehead, if it still doesn't work, then you have to go to the hospital to see.

Of course, it's also important that you don't get too nervous.

1. The patient should sit down immediately.

2. Acupressure to stop bleeding.

3. Cold compress method to stop bleeding.

4. Keep your mind relaxed.

1.The patient should sit down immediately: to slow down the flow of blood, so that the blood flows out of the nostrils, instead of letting the blood pour back from the nostrils, if the head is raised high, the blood will flow to the pharynx, there will be a mouth full of blood, if there is a brain lesion, such as cerebral infarction, cerebral blood acid and other symptoms, the harm to the patient is great, should not be hard to raise the head, should sit down first, quickly stabilize the mood, a rush will speed up the heartbeat, give their own psychological instructions, let themselves calm down.

2.Acupressure to stop bleeding: the patient or his family should press the nose, pinch the nose with the thumb and index finger, and do not use too much force when pinching, so as not to hurt the nasal bone, and when the bleeding site and cause are not understood, light pressure should be the mainstay, not strong compression, about 10 minutes is appropriate, and the first aid should be pulled out at the same time as compression**.

to find out**.

3.Cold compress method to stop bleeding: use borneol or cold towel on the patient's forehead or both sides of the nose, which can play a good role in stopping bleeding, I have seen nosebleeds with cold water, not to press the cold towel on the forehead with your hands, but to lift the head, put the towel on the forehead, because the face is high so the towel will not fall off, this is not correct, do not lift the forehead, so that the blood will flow backwards.

Blood should be allowed to drain from the nostrils while first aid** is administered and first aid is administered, waiting for first aid.

4.Keep the mind relaxed: when there is acute nosebleed, we must keep the psychological calm, which will slow down the flow of blood, thereby relieving the amount of blood flowing out of the nostrils, some people see the nostrils bleeding, the mood is frivolous, always walking around, shouting, this is not conducive to the condition, should maintain a stable state of mind, and wait for the arrival of the emergency cart, so as to avoid the occurrence of emergencies as much as possible.

If a nosebleed occurs, the patient should be placed in a sitting or semi-recumbent position, while comforting the patient to avoid excessive tension and to remain calm as much as possible. Because of mental stress, blood pressure often rises and bleeding is exacerbated; This is especially important for patients with nosebleeds caused by high blood pressure.

Local treatment. The main treatment is to stop the bleeding with compression, and the management steps depend on the location and extent of the bleeding.

1) Have the patient pinch the wings of the nose with the thumb and forefinger for 5 to 10 minutes to stop the bleeding.

2) If the bleeding does not stop, you can stuff a clean cotton ball, gelatin sponge, soft cloth, etc. into the nasal cavity to compress and stop the bleeding.

3) If the bleeding does not stop, dry cotton balls or hemostatic sponges dipped in hemostatic powder, 1% ephedrine and 1% epinephrine can be stuffed into the nasal cavity to converge and stop bleeding. At the same time as the above three aspects of treatment, cold water towels or ice packs can also be applied to the forehead, nose, neck or occipital area, and repeated changes can be made to promote the constriction of blood vessels and reduce bleeding.

4) If there is repeated bleeding or a lot of bleeding, it is necessary to clean the nasal blood first, find the bleeding site as much as possible, and then fill it with sterilized petroleum jelly oil gauze and press on the bleeding site. The oil gauze can be left in the nasal cavity for 24-72 hours. When the nosebleed has stopped, the oil gauze can be removed after an appropriate time.

If bleeding persists after 24 to 72 hours, you should be taken to the hospital immediately**.

Systemic treatment. The main focus is on the management of possible shock. If nosebleeds persist with the above methods and shock occurs, the patient should be placed in a supine position with the head to the unaffected side to prevent blood from flowing into the pharynx, causing nausea and aggravating bleeding. At the same time, use acupuncture or finger pressure to rescue the middle and Yongquan acupoints.

and sent to a nearby hospital for treatment in time.

Remind the majority of patients that occasional nosebleeds caused by excessive fatigue and improper diet can heal themselves as long as they pay attention to their diet, maintain a healthy lifestyle, and recuperate for a period of time. If nosebleeds occur frequently, it may be due to organ lesions in the body, which need to be paid attention to and timely** to avoid more harm, such as.

1.Hemorrhagic anemia and shock: Acute and chronic hemorrhagic anemia and hemorrhagic shock caused by nosebleeds mainly occur in the elderly and frail with poor compensatory function of the heart, lungs and kidneys.

2.Cardiovascular system complications: When a large number of nosebleeds occur, the sudden drop in blood pressure can lead to acute coronary insufficiency, which is more likely to promote attacks or aggravation in patients with original cardiovascular insufficiency.

3.Cerebrovascular accident: more common in patients with epistaxis with hypertension. Hypertension arteriosclerosis is the main cause, and the irrational use of yao.

4.Asphyxia: The direct cause of asphyxia is blood aspiration, obstruction of blood clots in the hypopharynx, and blood shedding on the mucosal surface of the larynx and hypopharynx. Patients who are frail or comatose, or who are anesthetized by the laryngeal mucosa are more likely to experience asphyxia.

Condition analysis: Most of the parts of the nasal bleeding are below the anterior part of the nasal septum.

Guidance: Therefore, when there is a nosebleed, you can use your hand to press the nose and press the nose to the nasal interval for five minutes, which can generally stop the bleeding.