Chapter 8 Bleeding External Bleeding • Blood coming from an open wound • Hemorrhage • A large amount of bleeding in a short time Recognizing External Bleeding • Three types • Capillary (oozing) • Venous (flowing) • Arterial (spurting) Response to Bleeding • The body responds naturally to bleeding. • Blood vessel spasm • Severed blood vessels draw back, constrict, and slow bleeding • Clotting • Platelets in blood form clot • Serves as a protective covering for wound Care for External Bleeding (1 of 2) • Wear gloves. • Expose wound. • Cover with clean cloth or gauze. • Apply direct pressure. • Elevate the area. Care for External Bleeding (2 of 2) • Apply a pressure bandage or ring pad. • Apply pressure at a pressure point if needed. • Reassure victim. Internal Bleeding • Skin is not broken and blood is not seen. • Can be difficult to detect and can be life-threatening • Causes: • Bleeding stomach ulcers • Lacerated liver • Ruptured spleen • Broken bones (such as femur) Recognizing Internal Bleeding • Bright red blood from mouth or rectum or blood in urine • Nonmenstrual vaginal bleeding • Vomiting or coughing up blood • Black, foul-smelling stool • Pain, tenderness, bruising, or swelling • Broken ribs, bruises over lower chest, rigid abdomen Care for Internal Bleeding • Monitor breathing. • If vomiting occurs, roll victim on his or her side. • Treat for shock by raising victim’s legs. • Treat internal bleeding in an extremity by applying a splint. • Seek immediate medical care. Bruises • • • • A form of internal bleeding Not life-threatening Apply an ice pack for 20 minutes. Raise extremities if no bones are broken and apply an elastic bandage for compression.