 | Minor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.) |
 |  | (introduction...) |
| | Notice |
|  | Chapter 1: Wounds - Burns |
| | Dressings |
| | Wounds |
| | Burns |
| | Chapter 2: Infection of soft tissues |
| | Abscess |
| | Treatment of tropical myositis |
| | Infections of the hand and fingers |
| | Chapter 3: Catheterisation and drainage |
| | Catheterisation of large veins |
| | Lumbar puncture |
| | Pleural puncture |
| | Thoracic drainage |
| | Pericardial puncture |
| | Drainage of ascites and intra-peritoneal perfusion |
| | Puncture and drainage of the knee |
| | Chapter 4: ent procedures |
| | Epistaxis |
| | Ear drainage |
| | Dental extraction |
| | Chapter 5: uro-genital procedures |
| | Urinary catheterisation |
| | Reduction of a paraphymosis |
| | Episiotomy |
| | Suturing episiotomies or perineal tears |
| | Intra-uterine procedures |
| | Treatment of a bartholin abscess |
| | Chapter 6: treatment of trauma |
| | Fractures and disIocations: the basics |
| | Shoulder and arm trauma |
| | Trauma of the lower limb |
| | Period of immobilization for major fractures |
| | Appendix |
| | List of essential supplies (absolutely necessary) |
| | Disinfection and Sterilization of medical equipment and supplies |
| | Bibliography |
Epistaxis
Bleeding from the nose.
Material
Wick of vaseline gauze
Fine dissecting forceps
Urinary catheter (sound) with n° 12 balloon
Technique
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.
FIGURE
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