TREATMENT OF NOSE-BLEED. The immediate treatment of nosebleed, says Dr. Gallagher, in Leonard's Medical Journal, whether it be due to traumatism, a diathesis, local lesion, or is vicarious, is practically the same. In the large majority of instances the bleeding comes from the septum anteriorly, and is due to rupture of the septal artery or one of its ramifications. It is well to keep this in mind, as often direct pressure can be made on the bleeding point. A piece of dry cotton which exerts direct pressure will very often stop the hemorrhage.

Another simple method is to introduce a pledget of cotton as large as the little finger, saturated with 4 per cent. solution of cocaine, applied with nasal forceps to the bleeding point.

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One of the simplest and most effective means of controlling nasal hemorrhages is the proper use of peroxide of hydrogen. At least one dram of pure H. O, should be injected into the nose with a syringe or common medicine dropper, after which the nares are to be closed, anteriorly and posteriorly, by the following procedure: Immediately after introducing peroxide the nares are to be closed anteriorly by compressing the alæ of the nose with the index finger and thumb. Posteriorly, the nares can be closed fairly well by directing the patient to open the mouth, at the same. time holding the head erect. A clot is formed at once, the volume of blood is much increased, and the gas which is liberated is confined in the cavities, exerting considerable pressure. This should be confined for five minutes, the patient being instructed not to blow out the clot. If this doesn't succeed

If the above methods fail, we should at once plug the posterior nares and pack the nostril to the anterior nares. This has commonly been done by means of Bellocq's cannula, drawing the plug up through the mouth and back of the palate. This operation is sometimes difficult for one not in special work, and, indeed, it is unnecessary, as a much simpler means can be employed.

I have been in the habit of using the following simple method, which has never failed me in arresting nasal hemorrhage, even after the most extensive surgical procedures in the nose: A piece of cotton as large as the patient's little finger is taken, and a piece of string six inches long is tied to its center. The cotton is then introduced through the anterior nares until it is free in the nasopharynx; gentle traction is then made on the string until the cotton is engaged in the posterior nares, which can be told by resistance or by direct vision. I then blow in an antiseptic powder, such as aristol or nosophen, and pack against the plug sterilized gauze in a long and narrow strip. More powder is blown into the meshes of the gauze as we pack to the front. The string should be wrapped around the index finger of the operator, and he