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Dealing with Wounds
Revision
Bleeding
Types of Bleeding
- ARTERIAL bright red and spurting (oxygen rich).
- VENOUS darker red and flowing (oxygen poor).
- CAPILLARY mixed blood both arterial and venous, gentle trickle or ooze.
- BLEEDING from Lungs - bright red, frothy, coughed up.
- BLEEDING from stomach - dark red or brown,(coffee grounds) vomited.
- BLEEDING from rectum - fresh bright red may be from haemorrhoids, black and tarry may be from intestine.
- BLEEDING from kidneys - may be blood or blood clots in urine.
BLEEDING FROM EAR (could be fracture of skull)
Place victim in position of comfort, half sitting.
Apply light dressing, do not plug ear.
Tilt head towards injured side.
Transport to hospital with injured side down.
Monitor ABC (Airway,Breathing,Ciculation).
BLEEDING FROM NOSE
Sitting with head inclined forward.
Pinch soft part of nose (ten minutes).
Loosen tight clothing around neck.
Advise victim to breath through mouth, not to blow nose or spit.
DO NOT plug nose.
BLEEDING FROM HAND
Check for foreign body in wound.
Use clean pad apply direct pressure.
Use narrow or broad fold bandage to hold pad in place.
Support and elevate hand in elevation sling.
PENETRATING CHEST WOUND
Cover with sterile or clean dressing.
Position of comfort, injured side down.
Form seal over area with plastic or kitchen foil and tape top and sides.
Transport to hospital, monitor ABC.
BLEEDING VARICOSE VEINS
Expose area and apply direct pressure (gloved hand).
Elevate leg, remove constricting clothing.
Apply firm pressure pad and bandage firmly.
Ensure bandage is well above and below injury site.
FOREIGN BODY IN WOUND
Control bleeding by squeezing edge of wound together.
Do NOT apply pressure to foreign object.
Build up bulky dressing around wound.
Bandage in place with diagonal bandaging.
Elevate and immobilise if possible.
INTERNAL BLEEDING
Place casualty at rest lying down.
If injury permits, raise legs.
Loosen tight clothing, reassure, treat for shock.
Check vital signs at regular intervals (5 minutes).
URGENT medical aid.
If stomach injury and intestine protrudes, cover with damp cloth and bandage in place firmly.
DO NOT attempt to replace internal organs.
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