James McCann’s nose was still bleeding, his left eye swelling shut after he was hit in the nose by 94.6 mph fastball in the Orioles’ first game of a doubleheader Monday.

So why didn’t he come out of the game and get medical attention? That thought never occurred to him, he said.

“I take a lot of pride in being tough and doing everything I can to stay on the field,” he said.

Blue Jays pitcher Yariel Rodríguez was struggling with command, having already walked four, when McCann came to the plate in the first inning as the No. 9 hitter. Rodríguez’s fastball then hit McCann in the nose, sending him to the ground. He wiggled his feet in pain as the team trainers rushed out. As he stood up, blood ran down his face, covering his jersey.

Play was stopped for approximately 10 minutes as the trainers tended to McCann and tried to stop the bleeding. Once they had it somewhat under control — blood was still dripping even after the game — McCann walked to first with cotton gauze in his nostrils.

Rodríguez was immediately removed from the game and McCann used the pitching change to put on a clean jersey. The catcher’s eye also began to swell shut as the game went on, making it hard for him to see.

Manager Brandon Hyde said McCann does not have a head or eye injury and he will get a CT scan and see an eye, nose and throat specialist on Tuesday.

“Just a really scary scene,” Hyde said. “He is incredibly, incredibly tough. He goes and catches eight more innings after that. ... All signs are we dodged a major bullet.”

If McCann came out of the game, Adley Rutschman, who the Orioles were hoping to rest, would have had to catch 17 innings. So McCann remained in, catching the recently acquired Zach Eflin in his Orioles debut. Eflin gave up three runs in six innings as the Orioles beat the Blue Jays 11-5 in Game 1.

Rutschman will start Game 2 with Cade Povich, who was called up as the 27th man.

“What a leader James McCann is,” Eflin said. “I don’t think I’ve ever seen anything like that on a baseball field. I just became probably his number one fan. To be able to go through that and remain in the game shows the grit and determination and competitiveness that he has. It’s inspiring, that was awesome.”