paeds423

A 19-year-old boy presents to the emergency department following a blow to the face playing rugby. He informs that he had a nosebleed which lasted for about 10-15 minutes but has now stopped completely. Presently the boy complains of difficulty breathing through his nose. On inspection, there is visible bruising to the nose, and upper lip. Further examination reveals bilateral red swellings arising from the septum. What is the best immediate step in the management of the boy’s symptoms?