What is the recommended action if bleeding persists after initial interventions for epistaxis?

When managing epistaxis, or nosebleeds, initial interventions such as applying direct pressure to the nostrils are crucial. If after these interventions the bleeding continues, seeking further medical assistance becomes essential. Transport to the nearest facility ensures that the patient can receive a comprehensive evaluation and appropriate treatment, such as cauterization or packing of the nasal cavity, which may be necessary if the bleeding is severe and does not resolve.

While applying direct pressure is often a first-line response, if that has failed, additional measures beyond home care are warranted. Direct pressure for another 10 minutes may help in some cases, but if the initial attempts have not succeeded, it's an indication that more advanced care is needed. Saline nasal spray could potentially help with dryness but does not directly address the cause of persistent bleeding, nor does staying lying down effectively manage ongoing epistaxis. Therefore, calling for transport is the most appropriate course of action in cases of persistent bleeding.