Page 235 - ATP-P 11th Ed

5. IF BLEEDING CONTINUES (likely posterior):
a. Prepare 14 French Foley catheter (tip is cut to minimize distal irritation).
b. Advance catheter along floor of nose (straight in) until visible in mouth.
c. Fill balloon with 5mL of normal saline.
d. Retract catheter until well opposed to posterior nasopharynx.
e. Add an additional 5mL of normal saline to balloon.
f. Clamp in place without using excessive anterior pressure.
®
g. Moxifloxacin (Avelox ) 400mg PO daily until packing is removed
h. Leave balloon and packing in place for 72 hours. SECTION 2

Disposition
1. Priority evacuation for severe epistaxis not responding to therapy or if Foley
catheter is used.
2. Evacuation may not be required if epistaxis is mild, anterior, and resolves with
treatment.

224 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 225