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FIRST AID FOR

BLEEDING
FIRST AID FOR BLEEDING

Introduction
Bleeding is the loss of blood from the circulatory system.
Causes can range from small cuts and abrasions to deep
cuts and amputations. Injuries to the body can also result
in internal bleeding, which can range from minor to
massive bleeds.

© Health Careers Institute

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FIRST AID FOR BLEEDING

Minor bleeding
• Clean the injured area
• Apply an appropriate dressing. This dressing must be
changed regularly
• See your doctor if you can’t remove the dirt yourself
• If you have not had a booster vaccine against tetanus in
the last five years, see your doctor

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FIRST AID FOR BLEEDING

Nosebleeds
• Sit the person upright and ask them to tilt their head
forward.
• Using the thumb and forefinger, squeeze their nostrils shut.

• Hold for at least 10 minutes.

• Release the hold gently and check for bleeding.

• If the bleeding continues beyond 20 minutes, seek medical


aid.
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FIRST AID FOR BLEEDING

Severe external bleeding


• Check for danger before approaching the injured person.
• Call for help.
• Lie the person down. If a limb is injured, raise the injured
area above the level of the person’s heart.
• Apply direct pressure to the wound
• If blood saturates the initial dressing, do not remove it. Add
fresh padding over the top and secure with a bandage.
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FIRST AID FOR EXTERNAL BLEEDING
FIRST AID FOR BLEEDING

• Protect yourself from any kind of diseases by


wearing gloves.If not available,wear gauze pads
• Expose the wound by removing or cutting the
victim’s clothing to find source of bleeding
• Clean the area with a clean cloth or sterile pad if
available
• Apply constant pressure over the area to reduce
blood loss

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FIRST AID FOR BLEEDING

• If bleeding continues,use elevation to reduce blood


flow
• Apply direct pressure over the wound
• Comfortable position
• Give fluids to maintain fluid and electrolyte balance
• If bleeding continues,press firmly again
• Reassure the client
• Shift the patient to hospital as soon as possible

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FIRST AID FOR BLEEDING

Internal bleeding

Some types of internal injury can cause visible bleeding


from an orifice (body opening). For example:
• bowel injury – bleeding from the anus
• head injury – bleeding from the ears or nose
• lung injury – coughing up frothy, bloodied sputum (spit)
• urinary tract injury – blood in the urine.
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FIRST AID FOR BLEEDING

Internal bleeding

Internal bleeding – not visible


An injured person may be bleeding internally even if you
can’t see any blood. An internal injury can sometimes
cause bleeding that remains contained within the body;
for example, within the skull or abdominal cavity.

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FIRST AID FOR BLEEDING

Symptoms internal bleeding

• Pain at the injured site

• Swollen, tight abdomen

• Nausea and vomiting

• Pale, clammy, sweaty skin

• Breathlessness

• Extreme thirst

• Unconsciousness. © Health Careers Institute

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• Restlessness and anxiety


• Drowsiness
• Coldness
• Increased pulse rate
• Low BP
• Pallor

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FIRST AID FOR BLEEDING

• Thirsty
• Dry mouth
• Profuse sweating
• Blurred vision
• Shallow breathing
• unconsciousness

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FIRST AID FOR BLEEDING

Some signs and symptoms specific to concussion (caused


by trauma to the head) include:
• headache or dizziness
• loss of memory, particularly of the event
• confusion
• altered state of consciousness
• wounds on the head (face and scalp)
• nausea and vomiting.
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FIRST AID FOR BLEEDING

First aid internal bleeding

• Check for danger before approaching the person.


• Call for help.
• Check that the person is conscious.
• Lie the person down.
• Cover them with a blanket or something to keep them
warm.
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FIRST AID FOR BLEEDING

First aid for internal bleeding


• If possible, raise the person’s legs above the level of their heart.
• Don’t give the person anything to eat or drink.
• Offer reassurance. Manage any other injuries, if possible.
• If the person becomes unconscious, place them on their side.
Check breathing frequently. Begin cardiopulmonary resuscitation
(CPR) if necessary.

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MANAGEMENT FIRST AID FOR BLEEDING

• Put patient on bed and give him a comfortable


position so that pain reduces
• Provide psychological support to patients and
relatives
• Monitor ABCs
• Do not give anything by mouth because injury may
be gastrointestinal tract
• If vomiting occurs, keep victim lying on his left side
to allow drainage and to prevent both inhalation of
vomitus and expulsion of vomit from stomach
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FIRST AID FOR BLEEDING

• Treat the shock by raising victim’s legs (8-


12 inches) and cover the victim with coat or
blanket to keep warm
• There may be need to blood transfusion to
prevent shock
• Shift the patient to the nearby hospital

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FIRST AID FOR BLEEDING

Take Care of Wound


• Wash your hands thoroughly with soap and clean
water, if possible.
• Avoid touching the wound with your fingers while
treating it (if possible, use disposable, latex
gloves).
• Remove obstructive jewelry and clothing from the
injured body part.
• Apply direct pressure to any bleeding wound to
control bleeding.
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FIRST AID FOR BLEEDING

Clean the wound after bleeding has stopped.


• Examine wounds for dirt and foreign objects.
• Gently flood the wound with bottled water or clean
running water (if available, saline solution is
preferred).
• Gently clean around the wound with soap and
clean water.
• Pat dry and apply an adhesive bandage or dry
clean cloth.

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FIRST AID FOR BLEEDING

• Leave unclean wounds, bites, and


punctures open. Wounds that are not
cleaned correctly can trap bacteria and
result in infection.
• Provide pain relievers when possible.
• Review the wound every 24 hours.
• If there is any wide gap, suture it
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FIRST AID FOR BLEEDING

• If there is a penetrating chest injury, then put the


patient in semi-upright position
• Cover the wound with firm air-tight dressing
• Fix the dressing to chest with firm bandage
• Transfer the patient to hospital because there can
be injury to lungs,heart,aorta
• If any serious abdominal wound,if the foreign
body is found projecting then do not remove it

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FIRST AID FOR BLEEDING

• Place ring pad around the object and secure


the dressing
• If the intestine comes out, then do not put it
back
• Cover the intestine with a clean cloth soaked
warm water
• Treat the shock
• Transfer to a hospital immediately
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FIRST AID FOR BLEEDING

Seek medical attention as soon as possible if:


• There is a foreign object (soil, wood, metal, or other
objects) embedded in the wound;
• A wound is a result of an animal bite;
• A wound is a result of a puncture by a dirty object;
• The wound is infected (pain and soreness, swelling,
redness, draining, or you develop a fever);
• You have signs of sepsis such as confusion or
disorientation, shortness of breath, high heart rate, fever or
shivering, extreme pain or discomfort or clammy or sweaty
skin.

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FIRST AID FOR BLEEDING

If you have wounds, you should


be evaluated for a tetanus
immunization. If you receive a
puncture wound or a wound
contaminated with feces, soil, or
saliva, have a health care
professional determine whether
a tetanus booster is necessary.
© Health Careers Institute

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