You are the duty doctor and get a call from the practice nurse to say she is seeing George who is 19, who is having a nose bleed and she hasn’t been able to stop it. On arrival, George is holding his head backwards and pinching the proximal end of his nose. You advise he leans forward and to apply pressure to the distal end of the nose and following this the bleeding stops. George explains that he had a ‘runny nose’ for the last few days and was trying to blow his nose when the bleeding started. He suffers with Asthma, Allergic rhinitis and Eczema. Review of his records highlight he is allergic to Neomycin. He is a non-smoker and drinks no alcohol.
Assuming the bleeding doesn’t re-start, which of the following would be the most appropriate next step in management?