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Article
January 19, 1924

AN EXPEDIENT TO CONTROL EPISTAXIS

JAMA. 1924;82(3):206. doi:10.1001/jama.1924.26520290001011

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Abstract

Nasal hemorrhage, in most instances, is usually controlled without great effort if the bleeding is not marked. On the contrary, violent bleeding or a steady, consistent ooze sometimes taxes the resources of the physician and persists in spite of the use of all available remedies.

A nasal hemorrhage is the most common form of bleeding in the human body. In the majority of cases, bleeding is confined to a comparatively limited area on the anterior portion of the cartilaginous septum. This region is known as Kiesselbach's area. It bleeds very easily both from local and from general causes, because of the distribution of its vessels. A thin plate of cartilage is covered on each side by mucous membrane. It is important that it receives an abundant blood supply. As the arteries are in the mucous membrane, they are superficial and liable to injury, and cannot retract into deeper tissue after

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