How I Manage Nosebleeds in Athletes

In brief: Nosebleeds can occur in athletes of any age, either spontaneously or after physical contact. They can impede or even halt performance. Prophylaxis is the best treatment. Athletes with a propensity for nasal hemorrhage should frequently coat the sides of the septum with petrolatum. Sudden epistaxis during a sports event should be treated by applying cotton to the bleeding area. If possible, the cotton should be soaked in a solution such as 3% hydrogen peroxide or epinephrine. Cauterization is sometimes appropriate; surgery is rarely necessary.