• Do not try to clean the scalp wound.
• Control and check bleeding.
• Place a sterile dressing.
• Apply a bandage to secure dressing.

Bleeding from the nose, ear canal or mouth is an indicator of intracranial bleeding or skull fracture. The primary measure for a head injury is an immediate referral.

• Sit with the head well for the ward.
• Loosen any fight clothing around the neck and chest.
• Advise to breathe through the mouth & to pinch the nose.
• Tell the causality to spit out any blood in the mouth.
• Release the pressure after 10 minutes.
• Do not let the causality raise the head.
• Advise not to blow the nose (avoid exertion).
• If after 30 minutes the bleeding persists, seek medical care.