Proper technique for direct compression of epistaxis in a child

For direct compression of a nosebleed, pinch the nasal alae together below the bony portion of the nose (panel A) and apply pressure for at least five minutes. During direct compression, the child should be sitting up and bent forward at the waist to minimize bleeding into the oral cavity and hypopharynx. This position avoids possible aspiration or swallowing of the blood. Panel B demonstrates the incorrect location of compression and improper patient position.