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March 13, 1909, Vol LII, No. 11 >
ARTICLE | March 13, 1909

TREATMENT OF EPISTAXIS

A. A. HERZFELD, M.D.
JAMA. 1909;LII(11):890. doi:10.1001/jama.1909.25420370048004i.
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By far the greatest number of cases of nose-bleed have their origin in the anterior cartilaginous portion of the septum, in the so-called locus Kiesselbachii. Small hemorrhages are easily controlled by the repeated application of a small pledget of cotton moistened with a mild astringent solution to the bleeding point. In the last few years adrenalin solution—1 to 1,000—has been used for this purpose, also a 2 to 4 per cent. solution of cocain hydrochlorate. The cocain solution is efficient in many cases, but has a number of disadvantages. Heydenreich1 recommends the application of sodium perborate to arrest hemorrhage after operations in the nasal cavity.

In some cases of severe bleeding it is difficult to locate the bleeding point exactly. In such cases, by means of an ordinary powder insufflator, I inject the sodium perborate powder directly into the nasal cavity. Immediately after the insufflation a grayish-white foam issues

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