Wilderness and Travel Medicine: A Complete Wilderness Medicine and Travel Medicine Handbook (Escape, Evasion and Survival Series)

Nose

Broken Nose

A broken nose is actually a fracture of the nose usually caused by some form of trauma.

Symptoms of a Broken Nose

Difficulty breathing through the nose.

Pain, especially when pressure is applied.

Possible deformity.

Treatment for a Broken Nose

Consider adjusting obvious deformity back in place, although further damage may be caused.

Use both hands to straighten the cartilage.

Consider taping into position.

Place some ice wrapped in a cloth over the nose, for periods of 20 minutes throughout the day; do this for 48 hours.

Pharmaceuticals:

Nasal decongestant may help with swelling in the nasal passages.

Foreign Body in the Nose

A foreign body in the nose is when there is something stuck in the nose, e.g., beads, food, rocks, small parts of toys. The object may have gotten there voluntarily, e.g., a child sticking something in his or her nose, or by way of trauma. The object may or may not be in view.

Symptoms of a Foreign Body in the Nose

Bloody discharge.

Breathing difficulty.

Feeling of something present in the nose.

Foul smelling discharge.

Pain.

Sensitivity.

Swelling.

Visually seeing something in the nose.

Treatment for a Foreign Body in the Nose

Ø Breathe through the mouth.

Ø Close the unaffected nostril (press it).

Ø Blow gently out the nose.

If above does not work, attempt extraction with tweezers (or similar) but only if you can see the object.

Stop extraction if:

Ø Extreme pain occurs.

Ø Object moves deeper.

If that does not work the object may have to be surgically removed. Seek advanced medical care.

Nosebleed

The common nosebleed (epistaxis) is due to a hemorrhage from the nose which may be caused by dry air, excessive picking, hypertension, irritation, trauma, underlying illness, upper respiratory infection etc.

Treatment for a Nosebleed

Ø Breathe through the mouth.

Ø Do not swallow blood; spit it out instead.

Ø Sit upright with head tipped slightly forward.

Ø Ice pack to bleeding side of nose.

Ø Pinch nostrils and push towards the face for 10 to 15 minutes.

If after 15 minutes the nose is still bleeding, repeat the pressure for another 10 to 15 minutes.

If still bleeding:

Flush with sterile saline, and then gently insert a thin strip of cloth drenched in epinephrine.

Do not remove the packing for several hours.

Raw Nose

A raw nose is a chapped nose, i.e., like chapped lips, but on your nose. It most often occurs due to the drying out of the nose from dry air, blowing the nose too much.

Symptoms of a Raw Nose

Irritation.

Raw inflammation inside nose.

Soreness.

Treatment for a Raw Nose

Avoid hot water on the nose.

Moisturize the nose, e.g., a damp cloth, face lotion, petroleum jelly.

Prevention of a Raw Nose

Keep hydrated.

Use a humidifier.

Use special tissues.

Sinusitis

Sinusitis is a nasal infection.

Symptoms of Sinusitis

Bad breath.

Cough.

Dental Pain.

Facial pain which may increase with head movement.

Facial tenderness.

Fatigue.

Fever.

Headache.

Loss of smell.

Nasal congestion.

Nasal discharge.

Treatment for Sinusitis

Hydration.

Warm facial compresses for relief.

Pharmaceuticals:

Avoid diphenhydramine.

Antibiotic: amoxicillin/clavulanate 500 mg every 12 hours for 10 to 14 days or 875 mg every 12 hours for 10 to 14 days or longer for recurrent and/or more serious cases.

Antibiotic: ciprofloxacin 500 mg every 12 hours for 10 days.

Antibiotics, other: amoxicillin, ampicillin, azithromycin, levofloxacin, sulfamethoxazole/trimethoprim.

Corticosteroids if severe, e.g., prednisone.

Decongestants.

Nasal vasoconstrictors, e.g., Afrin (do not use for more than 5 day).

NSAIDs.



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