An adjustable locking forceps device for the treatment of anterior epistaxis which is easy to use, adjustable, comfortable for the patient, applies direct and constant pressure to the anatomy, lightweight, compresses both nares simultaneously, compresses the alae and nasal bone, hands free during use, and is anatomically universal. Pressure pads that may be cooled or physically manipulated to yield an endothermic reaction can optionally be attached to the device. This device is believed to be useful in hospitals and clinics wherein quick treatment of epistaxis is required, as well as in the field for use by the lay public and should be included in every first aid kit. The device comprises a barrel hinge bearing assembly having a plurality of barrel sections, a locking means, a right jaw arm and a left jaw arm. Alternate embodiments include compressible pressure pads with varying topographies.