›Deformity and obstruction guide need for reduction
›Septal hematoma exclusion prevents major morbidity
›Reduction timing physiology
›Edema obscures anatomy early
›Callus formation reduces success later
›Antibiotic stewardship
›Low infection rates in closed reduction
›Prophylaxis not routinely helpful in uncomplicated cases
11Patient Discharge Instructions/pdi27
copy discharge instructions
›Discharge instructions
›Ice packs for swelling
›10 to 15 minutes at a time
›Skin protection barrier
›Head elevation during rest
›Reduce swelling
›Reduce bleeding risk
›Avoid nose blowing
›Prevent bleeding restart
›Reduce swelling and pain
›Avoid contact sports and re injury risk
›Activity restriction duration per clinician plan
›Protective gear discussion
›Pain control plan
›Paracetamol as directed
›NSAID only if approved given bleeding risk
›Return to emergency care now for red flags
›Worsening nasal blockage on one or both sides
›New or increasing deformity after swelling improves
›Persistent bleeding despite pressure
›Fever or worsening pain
›Clear watery fluid from one nostril after injury
›Vision change or double vision
›Severe headache or repeated vomiting
›Follow up plan
›Recheck once swelling decreases
›ENT or facial plastics appointment if deformity or obstruction
12References/r19
Guidelines and evidence sources
›Evidence base
›Choosing Wisely Canada recommendation against routine nasal bone X rays for nasal fractures
›Low sensitivity and specificity for plain films
›Low impact on management
›CMAJ clinical update on nasal fractures
›Septal hematoma exclusion is essential
›Reduction timing within typical window
›StatPearls nasal septal fracture review
›Closed reduction timing commonly within 2 weeks
›Edema delay of several days can improve precision
›ENT UK nasal trauma guideline
›Assessment timing and reduction timing guidance
›Complications including septal hematoma
›Royal Children’s Hospital clinical guideline on nasal fracture
›Septal hematoma must be excluded on presentation
›Pediatric follow up after swelling reduction
›Evidence on antibiotics after closed nasal reduction
›Studies showing no significant benefit of routine prophylaxis in uncomplicated closed reduction
›Stewardship rationale for selective use
Evidence & Review
Reviewed by SymptomDx Medical Team·Last reviewed
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