Management of severe postnasal haemorrhage: the Kingsley splint revisited

Postnasal haemorrhage accompanying severe craniofacial trauma may have cata strophic consequences if not arrested promptly. The airway has usually been secured acid the cervical spine stabilized, but apart from fluid replaceme nt, other attempts to control haemorrhage in the resuscitation room of the accident and emergency department may be to no avail. We wish to draw atten tion to a simple device that was introduced over 100 years ago and which ma y rapidly aid haemostasis and prevent the onset of hypovolaemic shock.