Scary Scenario

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Oct 18, 2001
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I have always been able to keep my head and cope well with emergency situations, and have for many years hunted alone, at times for three or four days, in some remote areas. But somethingh happened to me last night, sitting in my den in a recliner watching TV of all places, that has me thinking, "what if I had been alone, many miles from medical assistance?"

I have never been prone to nose bleeds. But as I was sitting idly, doing absolutely nothing, the front of my shirt was suddenly spattered with blood, lots of blood, streaming from my nose. I immediately went to the kitchen, leaving a trail of blood on the floor, to soak a cloth with cold water and applied a nose pinch. In a few moments I was swallowing blood, and spitting out a spray as I tried to awaken my wife. I sat down, tilted my head back, as I had been taught to do, maintaining my pinch on the bridge of my nose, and had to abandon that position because of the volume of blood I was swallowing. My throat got irritated by the blood and coughing. After about ten minutes it had not abated at all. The blood seemed to be coming from very high up inside my nose, out of range of a nose pinch. My wife is two weeks off a knee repalcement and can't drive, so I set out alone for the emergency room. This is where I almost panicked, wondering if the blood loss was enough to get dizzy or lose consciousness while driving. In retrospect, a 911 call would have been more appropriate. It was a typical weekend emergency room scene, and by the time a doctor looked at me, I had been bleeding for nearly an hour without any signs of it abating at all. I had soaked my shirt, my pants, several hospital towels, and my gray beard was full of blood. They tried everything that I had already done, with no better result. They finally got it stopped by inserting a balloon-like device and inflating it, compressing the inside of my nose with packing. I never had any pain during all this time, until the packing was inserted and inflated, then it got really interesting. I am spending Independence day with a nose full of packing and a tube taped to my face, which has prevented me from fully getting the dried blood out of my beard. My wife's Loritabs are helping me rest. I am to return to the emergency room tonight to have the packing removed.

My thoughts have turned to how I would, or could, have handled this in a remote area. It begins to get scary when all that you know and have been told suddenly doesn't work. What bothers me most is that I had done absolutely nothing to cause this. No nose-blowing, no impact, nothing.
 
Every now and then we are reminded that life has a very thin thread that keeps us around.

I think of that when I'm whitewater kayaking, summertime desert and wintertime mountain camping. Heck, sometimes even driving down the interstate at 75 mph or... sitting in the recliner.

Glad you're okay.
 
Are you okay? Besides the ER Doc, have you seen a specialist regarding what caused the hemorrhage? A typical nosebleed will heal itself in a short time. What you described seems very unusual.
 
It is a slap in the face when one finally realises that one is a mere mortal....

I've had 2 brain haemorrages and a heart attack........I'm done with being reminded of this fact.

Although when it's time to go, then it's time to go...........a life lived in fear is a life half lived.
 
get checked out for blood pressure, and diabetes..FIRST THING.

next dont panic. the best thing you can do is be aware of any medical isues in advance...
the dont panic thing is the best thing you can do in the
senario you discribed.
 
I too hunt alone in the most remote of areas, the elev there is 8500'. Makes me wonder why I do this every time I have to haul a buck out of there which takes three times longer with all that extra weight. I took my wife up there years ago and while just sitting there at camp she started bleeding from the nose, but after a half hour of profuse bleeding from both sides I made the dicission to get her down to lower elevaltion which is when it stopped that was two hours of bleeding. We stayed the night then returned home to see a doctor who couldn't tell us why it happened. But YES that made me sweat bullets while remaining calm,that's tuff to do. I would get it checked out to make sure its not a sign of something else going on.
Wish you well.........................
 
rpaladin said:
get checked out for blood pressure, and diabetes..FIRST THING.


Say what? Diabetes doesn't cause nose bleeds. Get checked out for clotting factors in your blood maybe?

Glad you're ok.
 
Many ER’s do have trouble dealing with those types of nosebleeds. You should have yourself checked out by an ENT doc. as soon as possible. There are several things that and ENT. will be able to do for you depending on your circumstances. Good luck!
 
Hi Mike, it's good to hear you are alright.

If you have had the problem numerous times before you may have to get serious. Have you ever considered haemophilia? It would explain the fact that the bleeding could not be controled. Haemphilia affects blood cells so that they do not have the ability to clot. Without clotting, bleeding will not stop as it basically makes your blood as viscous as water, thus very difficult to stop. This would explain why you could not get the bleeding to stop. With all do respect, I do not think you could have had a hemorrhage, if you had a hemorrhage, the nose bleed would be the least of your problems. Also, no doctor would send you home if their was a possibility of such a potentially lethal problem. One other thing to consider is if you bruise easily. By this I mean bruising by just light contact with an object. If this is the case, then you may want to look into haemophilia with a specialist.

Glad you're ok Mike. :)

You may want to look into this because if it (nose bleed) were to happen again and you were in less than an ideal situation (in the woods etc), then things could go foul. :(
 
Your story brings back bad memories. When I was a teenager in California I went through four years of frequent, severe nosebleeds. I always carried TP and was prepered to shove dampened TP up my nose and had to do it on two backpackers. Not much fun. Then the severe nosebleeds just stopped. I have not had more than two, slight nosebleed in the last thirty years. ?????????????
 
I had heard that to stop a nose bleed you lean your head back. But the
same thing happened to me as it did to you. So the last time I got a nose
bleed I tilted my head forward and that really knocked the nose bleed out.

It worked for me at least.
 
Pinch your nose and lean FORWARD. A lot of people have heard to tilt your head back but, like some of you have already noted, it will just irritate your throat and possibly cause nausea/vomiting depending on the quantity of blood swallowed. Holding a cold compress against your nose will also help if you have one handy.

If it dosn't respond to this treatment, you can also use over-the-counter Afrin nasal spray. It causes the vessels and capillaries inside your nose to constrict and can stop or reduce the bleeding. Apply 2 sprays into the nostril that is bleeding. As it should note on the box, DON'T use it if you have high blood pressure or any coronary artery disease. Also, Afrin shouldn't be used for more than 3 days as it will increase nasal irritation and side effects.

Asprin, ibuprofen, and other prescription blood-thinners can exacerbate the bleeding problem by inhibiting coagulation. As has been mentioned already, it is a very good idea to have a doctor check you out if you're having unexplained/uncontrollable nosebleeds. They can be a sign of more serious underlying conditions.

I hope everything works out ok for you.
 
Got the packing out this afternoon, without any further problems so far. Referred to an ENT by the emergency room, have to call him tomorrow.
 
The Afrin or similar spray with a vasoconstrictor is probably a good idea for anything you can't handle with pressure and ice. You can also spray it into places where your "pinch" won't apply significant pressure.

I know some emergency rooms (around here) use cocaine (pharmaceutical grade, of course!) for severe nose bleeds as it is also a strong vasoconstrictor as well as being a local anisthetic. Unfortunately that's not a viable option for outside of a hospital setting.
 
Mike, glad you are ok for the moment bro!!

That woulda been scary!!

Lesson: CALL 911 - had the loss of blood been enough, there could have been a less desirable outcome.

Let us know what the doc says. For it to have bled that long suggests a good sized vessel, and, to have started out of no where, could be something serious man.

Take care my friend.

Hammy
 
trout #2 said:
Pinch your nose and lean FORWARD. A lot of people have heard to tilt your head back but, like some of you have already noted, it will just irritate your throat and possibly cause nausea/vomiting depending on the quantity of blood swallowed. Holding a cold compress against your nose will also help if you have one handy.
I'll second that. That's what I learned from first aid instructor and manuals.

About calling 911 or any other emergency service. I'm always relucant to call them because I don't want to annoy them with those petty problems while they may have more serious business to do, now, that said, if you questionned your ability to drive, you may have called them for instructions.
 
Definitely lean head forward, as you found out, leaning your head backwards causes the blood to travel down your throat. If it gets into the trachea, it causes respiratory problems, if it gets into the esophogus it goes to the stomach, too much blood in the stomach causes vomiting. :barf:

For future reference, if you get in a similar situation, you can use tampons in the nostrils to stop bleeding (sounds gross, but I have used it on my athletes many times...besides that is what tampons were invented for). You can also pick up nose plugs at a pharmacy, they are cotton sticks. Hope all is well.
 
The ER doctor who did the baloon insert and inflation told me that in the past used a small tampon made for that application.
 
You could also have had a heart attack or a stroke a broken neck or bled to death from an injury..... the list goes on and on. Most of these possibilities cross our minds at least occassionally when we are alone and far from civilization. All you can really do is carry a comprehensive FAK (w/ the knowledge to use it) and a good communication device appropriate to the area (cell phone/HAM radio/PLB/etc). Of course the other option is to stop going out in the wilderness alone. I don't know about you guys but I have no intention of doing the latter. I rather enjoy being alone in the wilderness miles from civilization even though I am well aware of the risks. IMHO one must be a prepared as possible without lugging 30# of gear around. That being said, we are still mortal human beings and as such are relatively fragile.

I'm glad everything worked out well in the end for you though.
 
MikeH said:
The ER doctor who did the baloon insert and inflation told me that in the past used a small tampon made for that application.
I was going to recommend this. Everyone should keep a couple in their first aid kit, they are compact and of course, very good at absorbing blood.
I am prone to nosebleeds. My blood pressure is under control, but I do have low clotting factor- I just found this out when I was in the hospital with a kidney infection. They gave me a pint of plasma in prep for a kidney drain procedure that thankfully was unnecessary. You should get a blood test and have them check for clotting factor. Otherwise even getting a tooth pulled may be very risky.
I'm glad you're okay, but make sure you get yourself checked out.
 
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