Cover Image
close this bookMinor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)
View the document(introduction...)
View the documentNotice
close this folderChapter 1: Wounds - Burns
View the documentDressings
View the documentWounds
View the documentBurns
close this folderChapter 2: Infection of soft tissues
View the documentAbscess
View the documentTreatment of tropical myositis
View the documentInfections of the hand and fingers
close this folderChapter 3: Catheterisation and drainage
View the documentCatheterisation of large veins
View the documentLumbar puncture
View the documentPleural puncture
View the documentThoracic drainage
View the documentPericardial puncture
View the documentDrainage of ascites and intra-peritoneal perfusion
View the documentPuncture and drainage of the knee
close this folderChapter 4: ent procedures
View the documentEpistaxis
View the documentEar drainage
View the documentDental extraction
close this folderChapter 5: uro-genital procedures
View the documentUrinary catheterisation
View the documentReduction of a paraphymosis
View the documentEpisiotomy
View the documentSuturing episiotomies or perineal tears
View the documentIntra-uterine procedures
View the documentTreatment of a bartholin abscess
close this folderChapter 6: treatment of trauma
View the documentFractures and disIocations: the basics
View the documentShoulder and arm trauma
View the documentTrauma of the lower limb
View the documentPeriod of immobilization for major fractures
close this folderAppendix
View the documentList of essential supplies (absolutely necessary)
View the documentDisinfection and Sterilization of medical equipment and supplies
View the documentBibliography


Bleeding from the nose.

Wick of vaseline gauze

Fine dissecting forceps

Urinary catheter (sound) with n° 12 balloon


Figures 69, 70

First, introduce the vaseline gauze, not more than 2 cm, as far into the nose as possible, with dissecting forceps, and try to fold the gauze in pleats from behind forwards.
Pack the bleeding nasal cavity and hold it in place with an adhesive tape.

If bleeding continues despite the pack, posterior bleeding is occuring: introduce a Foley catheter (n°12) as far as the oropharynx, inflate the balloon with 10 to 15 ml of air (Figure 69), and pull back until it abuts on the posterior pharyngeal wall. Then, introduce the vaseline gauze as before. Maintain the catheter and the gauze mesh with an adhesive tape (Figure 70).

If bleeding continues, it is coming from the other nostril.

The pack must remain for at least 3 days.