Managing Frequent Nose Bleeds

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Submitted by the Baylor College of Medicine….

BaylorCollegeBloody noses, while incredibly common, are inconvenient and can often be alarming to whoever experiences one. While everyone has their own idea of how to remedy the occasional bloody nose, Baylor College of Medicine’s Dr. Eddie Liou breaks down what is really happening to cause the bleed and how to manage it.

“People of all ages experience nose bleeds, and most are caused by simple dryness due to weather or air conditioning, picking the nose or a trauma event, such as a fall or sports injury, or by predisposed conditions like septal deviation or inflammation due to allergies,” said Liou, assistant professor of otolaryngology-head and neck surgery at Baylor. “Though very rare, more serious causes can include growths, tumors or elevated blood pressure. Additionally, older individuals who are on blood thinners may experience more frequent nose bleeds.”

Liou explained that most bleeds happen in the anterior area of the nose, or the cartilaginous portion at the front of the septum.

“The interior lining of the nose can dry out and become brittle and break, much like a chapped lip can split, causing a bleed. Because the blood supply to the nose is so rich, it can take a little longer to subside,” Liou said.

When experiencing a nose bleed, Liou said the best thing to do is to pinch the nostrils together and apply pressure to the flexible, cartilaginous area of the septum, as opposed to the bony bridge of the nose, for about five minutes.

“A common misconception is to pinch the bridge of the nose, but that is not where most bleeds are originating from. People also often ask if they should tilt their head forward or back, which is another misconception. The angle of the head does not have an impact on stopping the bleed, and, conversely, swallowing blood can actually cause nausea,” Liou said.

After applying pressure to stop the bleed, Liou recommends using an over-the-counter decongestant spray, which causes the blood vessels in the lining of the nose to constrict. Moisturize the lining by applying nasal saline followed by petroleum jelly, which can be applied twice a day with a cotton swab.

“If you have a nose bleed lasting longer than an hour, or experience regular nose bleeds over the course of a couple of weeks, it is important to consult your physician, as there might be a bleed in the posterior area of the nose, near the throat, that needs to be cauterized by a doctor,” Liou said.

New CDC Vital Signs Report Shows Motor Vehicle Crash Injuries Are Frequent And Costly

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newsAmericans spend more than 1 million days in the hospital each year from crash injuries.

More than 2.5 million people went to the emergency department (ED) – and nearly 200,000 of them were hospitalized – because of motor vehicle crash injuries in 2012, according to the latest Vital Signs report by the Centers for Disease Control and Prevention.

Lifetime medical costs for these crash injuries totaled $18 billion. This includes approximately $8 billion for those who were treated in the ED and released and $10 billion for those who were hospitalized. Lifetime work lost because of 2012 crash injuries cost an estimated $33 billion.

“In 2012, nearly 7,000 people went to the emergency department every day due to car crash injuries,” said CDC Deputy Director, Ileana Arias, PhD. “Motor vehicle crash injuries occur all too frequently and have health and economic costs for individuals, the health care system, and society. We need to do more to keep people safe and reduce crash injuries and medical costs.”

Key findings include:

* On average, each crash-related ED visit costs about $3,300 and each hospitalization costs about $57,000 over a person’s lifetime.

* More than 75 percent of costs occur during the first 18 months following the crash injury.

* Teens and young adults (15-29 years old) are at especially high risk for motor vehicle crash injuries, accounting for nearly 1 million crash injuries in 2012 (38 percent of all crash injuries that year).

* One-third of adults older than 80 years old who were injured in car crashes were hospitalized – the highest of any age group.

* There were almost 400,000 fewer ED visits and 5,700 fewer hospitalizations from motor vehicle crash injuries in 2012 compared to 2002. This equals $1.7 billion in avoided lifetime medical costs and $2.3 billion in avoided work loss costs.

For this Vital Signs report, CDC analyzed ED visits due to crash injuries in 2012 using the National Electronic Injury Surveillance System-All Injury Program and the Nationwide Inpatient Sample. The number and rate of all crash injury ED visits, treated and released visits, and hospitalized visits were estimated, as were the associated number of hospitalized days and lifetime medical costs.

Vital Signs is a monthly report that appears as part of the CDC journal, Morbidity and Mortality Weekly Report.

– This article is provided by PRWeb

Fitness For The Frequent Traveler

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By Warwick Ford

malepushupWhile a motivated person may easily keep fit and keep weight under control when at home, the situation is different for those regularly on the road.

The Fitness Hazard for Travelers

Frequent business travelers face considerable challenges in keeping fit:

• They spend larger than average amounts of time in sedentary situations such as sitting in aircraft, vehicles, restaurants, and bars;

• They are likely to suffer from more stress and poorer sleep owing to time zone changes and extended work hours;

• Their diets may suffer owing to the temptation to increase intake of comfort foods;

• They are deprived of many of their regular fitness generating activities, including their sports partners, sporting and social clubs, family members, and local team activities.

One of the few fitness fallbacks that travelers have is the hotel gym. However, the average hotel gym is not a particularly attractive place – often hot and stuffy, with less equipment than one would like, and not quite the right companions. Such factors typically cause hotel guests to spend less time in the gym than they really should to maintain fitness.

Some travel advisers advocate exercising in the hotel room but that idea is of little help. Any trainer will confirm that a good exercise session demands breaking a sweat, which is simply not practical in the hotel room. Any hotel room activity that approaches an adequate workout will unquestionably cause more of an annoyance to neighboring room guests than it provides benefit to the person exercising.

Why Not Just Run?

girljogThere is one activity that can keep a traveler fit, while increasing wellness generally – running (or jogging or athletic walking) outdoors. This activity is very efficient, requires carrying only a pair of running shoes, shirt, and shorts, is invigorating in fresh air and a new environment, can be done alone or with company, and is very inexpensive. In fact, there are so many good qualities one might wonder why more travelers do not systematically run outdoors in places they visit.

The resistance to running outdoors stems mainly from concerns about possible security risks, possible road traffic incursions, and other unknowns that might lead to some form of unpleasantness.

But all cities have some places where one can run with other runners around and without substantial concerns of the above type.

Plan Your Routes Wisely

A traveler needs solid, reliable information to help make an on-foot outing a truly enjoyable experience. This will motivate the traveler to actually venture out. Here are some general factors that combine to make an on-foot route irresistible:

• Good underfoot conditions;

• A “good” neighborhood; nasty surprises are unlikely;

• Not too many other people and not too few;

• Minimal disruptions from intersecting auto roads;

• Pretty scenery; interesting sites to pass along the way;

• Public transit to the start and finish points;

• A loop route is more enjoyable than an out-and-back route;

• A suitable place to wind down for a refreshing beverage or snack at the end.

joggersTaking into account all the above requirements, plan your routes wisely. Ask your local hotel staff for route recommendations but treat their recommendations cautiously since many staff members have limited first-hand knowledge of running or walking conditions. More importantly, buy and consult a good local runners’ guidebook or map.

When in an unfamiliar city, get outdoors and run or walk as much as you can. Plan your routes well. You can find this activity enormously enjoyable, educational, and great for your fitness.

– Warwick Ford, a marathon runner, was a frequent business traveler before retiring as a corporate executive. He and his wife Nola have personally researched the top running and walking routes in many major US cities. Their book Fun on Foot in America’s Cities describes the running conditions and most visitor-friendly routes in 14 major US cities. They also have detailed running/walking guide books on the Boston, New York City, and Philadelphia regions. Their books and much other relevant information are available from their website