If a patient's nose continues to bleed after applying pressure, what is the next step?

The appropriate next step when a patient's nose continues to bleed despite applying pressure is to apply additional measures that can help control the bleeding. While having the patient blow their nose might seem counterintuitive given that it could dislodge any clot formed, in this scenario it's generally intended to clear any blood clots that might be obstructing the nasal passage. Afterwards, reapplying pressure could help in controlling the bleeding.

Applying ice packs can provide a constrictive effect on the blood vessels, potentially helping with bleeding, but it is not typically the next step in the protocol after direct pressure fails. Leveraging the patient’s head back is also not advised because this can lead to blood flowing down the throat, which can cause aspiration or gastrointestinal issues. Calling for advanced medical support is a prudent choice in severe cases of bleeding; however, it's usually a step taken when the situation does not improve with initial management strategies. Thus, reapplying pressure after clearing the nasal passages can help achieve better control of the bleeding in this context.