Page 3 (read page 1 for important warnings first)
Posterior Nose Bleed: Alternate Procedure
If you don’t have a Foley catheter but have another type of small, flexible medical tubing, like a nasogastric (NG) tube, it’s possible to use it, but this can make things even a little more difficult.
What you’ll need: In addition to the tube, you’ll need long forceps or tweezers, cloth (preferably a cotton gauze sponge from the pharmacy, kept with your survival supplies, but at least something that doesn’t have pieces that will flake off), lubricant such as K-Y Jelly, and a long ribbon or strong string such as suture or dental floss.
The second video on this page shows part of this procedure, including how the rolled up cloth should look.
Prep work: Before the procedure, roll up the cloth. The roll should be about one inch by one-half inch. Wrap the string around it to hold it together. Make sure one end of the string is long enough to stretch from the nostrils down through the top of the throat and the other end is long enough to stretch from the top of the throat all the way out of the mouth.
- Trauma to the delicate nasal lining. Be as gentle as you can.
- Bleeding as a result of trauma.
- Infections, even abscesses, which may require antibiotics.
- Sinus infection (because of stopping up the sinus openings), which may require antibiotics.
- Inhaling something down the windpipe, which could be deadly. (Use strong string and material that won’t flake off; remember the Heimlich.)
- Follow instructions 1–8 on the previous page, but measure the tubing far enough so the end is actually in the throat and you can see it.
- Find the tube in the throat. Take the forceps or tweezers, grab the end of the tube, and pull it out the mouth.
- Poke a hole in the end of the tube coming out of the mouth. Thread one end of the string through the hole, and tie it tightly to the tube. (You could alternately sew the string on.) Very important: Make sure it’s secure and not going to slip off the end of the tubing. If it falls off, the attached cloth could lodge in the person’s windpipe and kill them.
- Coat the roll with a little bit of lubricant.
- Slowly and gently pull the tubing back out of the nostril until you feel resistance.
- Tie the tubing to the face, or cut it off and tie the string coming out the nose to the face.
Keep the packing in place for seventy-two hours. Afterwards, pull out the packing by gently tugging on the string coming out the mouth. When you see the cloth, you can catch it with some long forceps or tweezers, or you can just pull it out with the string.
If the gauze seems stuck, you can loosen it by having the person irrigate a bit—sniffing or pouring a little warm water in the affected nostril. See my nasal irrigation post for further details.
*The product photo is only an example, not a recommendation. It links to Amazon.com via an affiliate link.