Nassau County EMT Practice Test

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For a severe nosebleed without C-spine injury, appropriate treatment includes
Correct Answer:
Pinching nostrils and leaning forward
Explanation:
Controlling an anterior nosebleed relies on tamponade with direct pressure and preventing blood from draining toward the airway. Pinching the soft part of the nostrils while the head is kept forward allows a clot to form and reduces ongoing bleeding. Leaning forward stops blood from running back to the throat, which helps prevent choking or vomiting and keeps the airway clearer. Tilting the head back or lying flat is not advised because it can cause blood to be swallowed or aspirated. Heat to the nose or using a simple nose plug alone doesn’t reliably stop a severe bleed. If the bleeding lasts more than several minutes of continuous pressure, seek further care for possible nasal packing or additional treatment.

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