If a patient has a nosebleed after a fall, what should you do first?

The most appropriate initial action when faced with a nosebleed after a fall is to pinch the nose for 10 minutes. This approach is effective because it helps to control the bleeding by applying pressure to the nasal septum, which can constrict blood vessels and reduce blood flow. By keeping the pressure applied for a full 10 minutes without interruption, you can significantly increase the chances of stopping the bleed.

While assessing other injuries or calling for emergency help might seem logical, they should follow the immediate management of the nosebleed, especially if the bleeding is significant. If the situation escalates and there's significant blood loss or ongoing bleeding after applying pressure, then it may be necessary to evaluate the need for further medical assistance. Applying ice may provide some relief but is not the primary action recommended for managing a nosebleed. Thus, pinching the nose is the most effective first step in this scenario.