What is the initial treatment for an anterior nosebleed occurring at Kiesselbach's plexus?

In the case of an anterior nosebleed occurring at Kiesselbach's plexus, the initial treatment focuses on providing direct pressure to the nasal area. This method is effective because it allows for the mechanical compression of the bleeding vessels, resulting in clot formation and cessation of the bleeding. By having the patient sit upright and lean slightly forward, the direct pressure can be applied to the nostrils, which is a straightforward and noninvasive approach.

The anatomy of Kiesselbach's plexus, which is a rich vascular network located on the anterior part of the nasal septum, makes it a common site for anterior nosebleeds. The application of direct pressure is often the first step in addressing these types of epistaxis, as it is simple to perform and has high rates of success.

While other treatments like nasal packing, topical vasoconstrictors, or cautery can be used for nosebleeds, they are generally reserved for situations where initial pressure does not resolve the bleeding. Nasal packing could result in discomfort and may not be necessary if the bleeding stops with pressure. Topical vasoconstrictors can be useful but usually follow the initial application of pressure. Cautery is a more invasive technique and is typically not