First aid in the event of hemorrhaging through natural orifices

  • Otorrhagia:output of blood from the ear.
  • Recovery position over the bleeding ear.
  • Padding under the head
  • Transportation of the patient in recovery position over the bleeding ear, properly restrained.
  • DO NOT cover ear.
  • Epistaxis:output of blood from the nose.
  • Manual compression of the bleeding nostril.
  • Plugging bleeding nostril with gauze soaked in hydrogen peroxide water.
  • Transfer for physician’s evaluation.
CAUTION: After a strong head trauma there may be signs of bleeding from the nose, one ear or both, to form an accumulation of blood or clear fluid in the areas around the eyes or some of these signs simultaneously. If this happens, do not be confused with isolated bleeding. This is more serious: it may be a fractured skull .
  • Hemoptysis: output of blood through the mouth from the respiratory apparatus: cough red blood mixed with sputum.
  • Local cold.
  • Semi-supine position, semi sitting.
  • Transfer immediately to a hospital, keeping sample of sputum.
  • Evaluate for symptoms of hemorrhagic shock.
  • Hematemesis: output of blood through the mouth from the digestive apparatus; vomit mixed with digested blood (similar to coffee grounds).
  • Local cold.
  • Recovery position or supine with both knees bent.
  • Transfer to a hospital with a sample of vomit for a physician’s evaluation.
  • Evaluate for symptoms of hemorrhagic shock.
CAUTION:  There may be a third type of hemorrhage whose output is bleeding through the mouth and is caused by any wound in the oral cavity or pharyngeal cavity.
  • Melena: output of blood from the anus, blackish, smelly, and mixed with feces. Transfer patient to the hospital as soon as possible in semi sitting position and legs bent, to prevent a backflow of blood into the digestive tract.
  • Hematuria: outflow of blood in the urine. Transfer to hospital for evaluation.