By Dana Bell
Air strength colours Vol.I: 1926-1942
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Extra resources for Air Force Colors, Vol.I. 1926-1942
Merocel is a first-line pack. ) and use the largest pack available, as small ones are fairly ineffective. Remember that the nose goes backwards toward the neck and not upwards towards the top of the head. Push the pack along the floor of the nose firmly and as quickly as you can. Hesitating will make it worse for the patient. • In our opinion all patients with packs should be admitted, and this is also the policy at many hospitals that have an onsite ENT service. Other hospitals may have different policies.
A useful trick is then to push the cotton wool back with a sucker until a bleeding point appears, which can then be cauterised. We tend to use silver nitrate. Don't aim the cautery stick directly at the bleeding point or you will start the epistaxis again. Cauterise the area around the bleeding point first, and then move on to it. If the epistaxis stops, keep the patient in the department for at least an hour to make sure that it doesn't start again. If the patient is a frail elderly person with no support at home and it is late, consider admission.
This is then removed in clinic and a headband (a sports headband will suffice) should be worn at night for 6 weeks. 'Before' photographs must be taken and should be available in the notes at the operation. 19 35 Pinnaplasty. Risks of the procedure • Bleeding/haematoma, as the pinna has a rich blood supply. Usually bleeding during the operation is not too much of a problem and the surgeon makes sure that the pinna is dry before finishing the operation. A pressure bandage also makes haematoma formation less likely.
Air Force Colors, Vol.I. 1926-1942 by Dana Bell