New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

To control a nosebleed in a patient without suspected spinal trauma, what should the EMS provider do?

1. Pinch the patient's nostrils together and sit the patient leaning forward

2. Lay the patient flat and apply pressure to the forehead

3. Apply ice to the back of the neck

4. Have the patient tilt their head back and relax

The correct answer is: Pinch the patient's nostrils together and sit the patient leaning forward

To control a nosebleed in a patient without suspected spinal trauma, the recommended approach involves pinching the patient's nostrils together and having them lean forward. This method is effective because pinching the nostrils creates localized pressure on the bleeding site, which can help to stop the source of the bleeding. Leaning forward is also essential, as it prevents blood from flowing down the throat, which could lead to complications such as aspiration or swallowing blood. The patient should not be instructed to lay flat, apply pressure to the forehead, or tilt their head back. Laying flat or applying pressure to the forehead doesn't adequately control the bleeding, and tilting the head back can cause blood to run down the throat, increasing the risk of choking or gastrointestinal discomfort. Thus, pinching the nostrils and leaning forward is the appropriate and safest method for managing a nosebleed in this scenario.