Nose bleeds(epistaxis) are common in childhood .
Though it is frightening it is easily manageable
Most common site of bleeding is an area in the anterior part of nasal septum where many blood vessels are meeting.
The mucosa in that area is thin and easily accessible for children for inserting fingers and nose picking
Trauma – either fall or hit by others
Nose picking-most common cause
Mostly bleeding will stop spontaneously in few minutes.
Donot panic on seeing the bleed.
Calm the child
Compress the Nares and ask the child to breathe through mouth
Ask the child to lean forward so that the blood will not enter back in to the throat
If bleeding is profuse apply Oxymetazoline drops
Consult an ENT surgeon who will pack the nose and will arrest the bleeding
Saline nasal drops may be applied to prevent dryness