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Trauma | Management of Bleeding Wounds and Shock

Management of Bleeding Wounds and Shock

  1. BSI
  2. Direct Pressure
  3. Elevate if extremity
  4. Additional dressings
  5. Pressure dressing and bandage
  6. Pressure to appropriate arterial pressure point
  7. Elevate patient’s legs
  8. Apply high flow O2
  9. Cover patient with blanket
  10. Initiate immediate transport
  11. Reassess vital signs

Internal Bleeding: usually chest, abdomen. Pelvis or retroperitoneum

Signs and Symptoms:

  • Coughing up red froth
  • Vomiting coffee grounds or bright red emesis Melena
  • Hematochezia (rectal bleeding)
  • Red urine
  • Dizzy
  • Rapid, gasping breaths
  • Orthostatic hypotension
  • Pain, tender, rigid abdomen
  • Restlessness, nausea, weakness
  • Weak rapid pulse
  • Cold clammy skin, sweating

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