How I do it: emergency nasal packing using an umbilical cord clamp to secure a Foley catheter for posterior epistaxis.

Posterior nasal balloon tamponade using a Foley catheter is a well-known, easy, and quick way to bring an end to a posterior epistaxis in emergency situations. To prevent loosening and displacement of the balloon away from the choana, some metallic devices that may crush or tear the catheter are often used. Being light and easy to install, a plastic umbilical cord clamp is a good alternative. While providing a stable double grip on the catheter, the Hollister umbilical clamp does not crush it. When the clamp is removed, saline can be aspirated from the balloon and the catheter left in place with the nasal packing. Afterward, if needed, the saline can be reinjected to restore the tamponade.