1. Chapter 8
Bleeding

2. External Bleeding Blood coming from an open wound Hemorrhage
A large amount of bleeding in a short time

3. Recognizing External Bleeding
Three types
Capillary (oozing)
Venous (flowing)
Arterial (spurting)

4. 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

5. Care for External Bleeding (1 of 2)
Wear gloves.
Expose wound.
Cover with clean cloth or gauze.
Apply direct pressure.
Elevate the area.

6. Care for External Bleeding (2 of 2)
Apply a pressure bandage or ring pad.
Apply pressure at a pressure point if needed.
Reassure victim.

7. 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)

8. 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

9. 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.

10. 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.