Mary Par, 44 years of age, is a female patient who presents to the emergency department with epistaxis. She has a bath towel saturated with bright red blood and small clots. She is breathing through her mouth as she has her head tilted forward and has direct pressure applied to the soft outer portion of the nose against the midline septum using her thumb and index finger. She applied direct pressure for over 15 minutes and her nose will not stop bleeding.