11: Bleeding Control

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6 Terms

1
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Types of bleeding [3]

Arterial

  • bright spurting red

  • apply lots of pressure or tourniquet

Venous

  • dark oozing

Capillary

  • small cut


2
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Steps to control bleeding [4]

  1. BSI precautions

  2. Apply direct pressure and hold gauze w gloved hand (do not remove to allow for clotting)

  3. pressure dressing

  4. Tourniquet if the wound is on an extremity


3
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When [2] and how [4]to apply tourniquet, when NOT to apply [3]

Typically for arterial bleeding

Wound must be on an extremity


  1. Place 3in+ above the wound (apply 2 if needed)

  2. Tighten until bleeding stops

  3. Document time placed on PCR/tourniquet/patient forehead

  4. Document estimated amt of blood lost


NEVER

  • place over joint

  • Cover with clothing

  • Remove in the field


4
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Types of shock (hypoperfusion) [2]

  • compensated: body tries to offset low blood volume

  • decompensated: bodily systems begin to fail


5
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Signs / symptoms of shock [5]

  • altered mental status

  • Tachycardia (rapid HR)

  • Shallow, rapid breathing

  • Skin is cool, pale, clammy

  • Falling blood pressure


6
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Treating shock in the field [4]

  1. lie the patient down

  2. High flow O2 (NRB 12-15LPM), prepare to ventilate (BVM 25LPM)

  3. Keep patient warm w foil blanket

  4. Prepare for rapid transport & upgrade incoming units