Bleeding & Shock - Bleeding Shock A disturbance in the...

This preview shows page 1 - 12 out of 64 pages.

Bleeding & Shock A disturbance in the force September 2014 JI 1
Image of page 1

Subscribe to view the full document.

Blood Primarily transport system Oxygen, nutrients, waste products; to and from around the entire body Oxygen demand is a priority in the major organs: Heart Circulatory system Lungs Respiratory system Brain Nervous system Kidneys filtering section of circulation September 2014 JI 2
Image of page 2
Bleeding 5-6 Liters of blood per average adult male 10-12 pints Hemorrhage is bleeding Body cannot withstand blood loss greater than 20%-25% More than 1 Liter loss can be dangerous Pediatrics have smaller bodies, less blood September 2014 JI 3
Image of page 3

Subscribe to view the full document.

Bleeding Serious indications include: Significant mechanism of injury Poor general appearance Assessment reveals signs of shock Major blood loss noted Inability to properly control external hemorrhaging Hemophilia September 2014 JI 4
Image of page 4
External Bleeding - types Arterial blood Bright red color Spurts with each pulse Venous blood Dark red color Steady flow or drip Capillary blood Oozing flow Usually slow September 2014 JI 5
Image of page 5

Subscribe to view the full document.

External Bleeding - control BSI / scene safety! Direct pressure Preferably with sterile dressing Pressure bandage Tying off directly over bleeding site Apply Tourniquet Proximally to wound Administer Oxygen PRN Treat for shock PRN September 2014 JI 6
Image of page 6
External Bleeding - control Tourniquet use, if pressure bandage is unsuccessful: Using a cravat with a rigid component or commercial device Twist until bleeding ceases Secure properly in place Write “TK” with exact time and place on patient’s forehead September 2014 JI 7
Image of page 7

Subscribe to view the full document.

External Bleeding - control Splinting may help control external bleeding with a fracture Air splints can help soft tissue injuries Cannot be used on open injuries May act as a pressure bandage Correct inflation = some indent from thumb is pressed into outside of splint For smaller bleeds, a cold pack (ice pack) may minimize bleeding as well. September 2014 JI 8
Image of page 8
External Bleeding - control Nose, ears, & mouth bleeding : Epistaxis due to: trauma, digital trauma, change in pressure, drug usage Pinching the fleshy part of nostrils Roll gauze bandage on upper lip Apply cold pack Gentle pressure by ear Watch for csf (halo/target) Rolled sterile gauze in gap of teeth and bite down September 2014 JI 9
Image of page 9

Subscribe to view the full document.

Internal Bleeding - signs Major mechanism of injury Bruising - discoloration of skin Ecchymosis or Contusion “Painful, swollen, deformed extremity” Rigid or distended abdomen Broken ribs Coughing up blood Hemoptysis Vomiting “coffee ground” like substance Hematemesis September 2014 JI 10
Image of page 10
Internal Bleeding - signs Rectal bleeding Tarry dark stool = Melena Bright red stool = possibly hemorrhoids Shallow rapid breathing Fast heart rate Nauseas & vomiting Cool, pale, & clammy skin Decreased blood pressure (late sign) September 2014 JI 11
Image of page 11

Subscribe to view the full document.

Image of page 12
  • Spring '17
  • Pneumothorax, Ji

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern