In epistaxis management, which position is recommended?

• A. Head forward
• B. Tilt forward
• C. Tilt backward
• D. Lie flat

Answer: (A)

Positioning during epistaxis aims to prevent blood from running back into the throat while allowing a clot to form at the source. The recommended approach is to sit the patient up and tilt the head forward. This uses gravity to keep blood flowing out of the nostrils rather than pooling in the throat, reducing the risk of choking or aspiration and making it easier to apply direct nasal compression to the bleeding site. Tilting the head backward or lying flat can cause blood to run into the throat or airway and can hinder clot formation. After adopting this head-forward position, apply steady pressure to the soft part of the nose for several minutes to help the bleed stop.