For a patient with a broken nose and active bleeding, which treatment sequence is best?

In the case of a patient with a broken nose and active bleeding, having the patient sit upright and lean forward while holding pressure to the nares is the most effective sequence of treatment. This position helps to minimize the risk of blood flowing down the back of the throat, which could lead to potential airway obstruction or aspiration. Leaning forward allows blood to drain out of the nostrils rather than down the throat, promoting a safer management of the bleeding.

Additionally, applying pressure to the nares directly encourages the vessels to constrict, which can help control the bleeding. This approach not only addresses the immediate concern of hemorrhage but also supports maintaining an open and clear airway, which is critical in any trauma situation. By keeping the patient upright, you're also less likely to aggravate any swelling or displacement of the fracture, which might occur if the patient were lying down.