What is the best way to manage a nosebleed?

The best way to manage a nosebleed is to pinch the nostrils and lean slightly forward. This method is effective because pinching the nostrils helps to apply pressure to the area from which the bleeding originates, allowing it to clot more effectively. Leaning slightly forward is crucial as it prevents blood from flowing down the throat, which can lead to choking or nausea. This position also minimizes the risk of swallowing blood, ensuring that the individual remains stable while the bleeding is controlled.

The other methods are less effective or advisable. Lying flat and tilting the head back could lead to swallowing blood and potentially cause aspiration, which is dangerous. Applying ice to the back of the neck does not directly address the source of the bleeding and may not help to stop the flow. Blocking both nostrils with cotton is not recommended as it can create pressure that might exacerbate the bleeding and might not allow enough monitoring of the bleed to assess whether it is stopping or continuing.