c. Treatment. If you are sure the object has not perforated the eardrum, follow
this procedure:
(1)
Fill a bulb syringe with alcohol.
(2)
Have the patient lie down with the ear with the foreign object over a
basin.
(3)
Put the syringe tip near the top part of the entrance to the external ear.
(4)
Flush liquid rapidly into the ear canal.
(6)
Evacuate the patient if the object cannot be flushed out of the ear.
Section IV. NOSE INJURIES
4-14. EPISTAXIS (NOSE BLEED)
a. Description. Epistaxis, bleeding from the nose, may be either a primary
disorder or a problem caused by another health condition. Nose bleeds in adults
usually originate in the posterior septum and can be severe. Usually, a nose bleed
occurs as a result of external or internal trauma; for example, a blow to the nose, nose
picking, or insertion of foreign objects. Nose bleeds can also be caused by polyps
(growths in the nasal cavity), acute or chronic infections such as sinusitis or rhinitis, or
inhalation of chemicals that irritate the nasal mucosa. Factors which increase the
possibility of nose bleeds include:
(1) Anticoagulant therapy (patient is taking medication which prevents blood
from clotting rapidly).
(2)
Chronic use of aspirin.
(3)
High altitudes and dry climates.
(4)
Scurvy.
(5)
Vitamin K deficiency.
(6)
Arterial hypertension (HTN) and hemorrhage diseases.
(7)
Leukemia.
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