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In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
Epistaxis, or nosebleed, is a special case, where almost all first aid providers train the use of pressure points. The appropriate point here is on the soft fleshy part of the nose, which should constrict the capillaries sufficiently to stop bleeding, although obviously it does not stop bleeding from the nasopharynx or tear ducts .
Retrocollis is the extension of the neck (head tilts back) and uses the following muscles for movement: bilateral splenius, bilateral upper trapezius, bilateral deep posterior paravertebrals. This is the "chin-in-the-air" version. A combination of these head positions is common; many patients experience turning and tilting actions of the head. [10]
Pressure should be firm and tilting the head forward helps decrease the chance of nausea and airway obstruction due to blood dripping into the airway. [15] When attempting to stop a nosebleed at home, the head should not be tilted back. [2] Swallowing excess blood can irritate the stomach and cause vomiting.
The head-tilt/chin-lift is the most reliable method of opening the airway. Treatment of unconscious patients focuses on preventing or treating obstructions of the airway, such as head-tilt/chin-lift and jaw-thrust maneuvers , while the use of the recovery position mainly prevents aspiration of things like stomach content or blood.
A guinea pig with a head-tilt. In veterinary literature usually only the lateral bend of head and neck is termed torticollis, whereas the analogon to the rotatory torticollis in humans is called a head tilt. The most frequently encountered form of torticollis in domestic pets is the head tilt, but occasionally a lateral bend of the head and ...