Any break in soft tissue of the body that results in Bleeding.
TYPES:
Open Wounds
Close Wounds
Open & Close Wounds
Open Wound
Break in the outer layer or skin, results in bleeding & allow Microorganisms (germs) to enter the body.
Close Wound
No break in the outer layer of skin.
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Amputation
Loss of a finger, hand, arm, or leg can be extremely dangerous. But, if you act quickly, you may be able to save the victim’s life.
When part of the body has been torn off, treat the victim:
Administer first aid:
Control bleeding, watch for signs of shock, and treat for shock as necessary.
Protect Body Part:
Try to find out the severed part of the body.
If found, save the tissue parts, wrap it in a plastic bag.
Put a bag on ice, but don’t freeze.
Take the part with victim to the Hospital.
Mention name of victim and time of incident on plastic bag.
Wound Care
Objectives of wound care are to control bleeding and prevent secondary infection.
Clean the wound by irrigating with water, flushing with a mild concentration of soap and water, then irrigating with water again. Do not scrub.
Apply a dressing and bandage , after thoroughly cleaning the wound, to help keep the wound clean. (A dressing is applied directly to the wound. A bandage is used to holding the dressing in place.) Use the following rules for dressings and bandages:
If the wound is still bleeding, apply the bandage with enough pressure to help control bleeding without interfering with circulation. Check for color, warmth, and sensation to determine if the bandage is too tight.
If active bleeding continues (the dressing is soaked with blood) redress over the existing dressing and maintain pressure and elevation.
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Bleeding (Hemorrhage)
Escape of blood from
an injured vessels.
Severe bleeding is called
HEMORRHAGE .
Signs & Symptoms
Rapid and weak pulse
Faintness & dizziness
Pale, Cold & Moist skin
Thirst & Nausea
Restlessness & Apprehension
Shallow Breathing
Altered Conscious level
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Control of Bleeding
Apply direct pressure to the wound (at this time a direct pressure bandage may be used)
Elevate (do not further harm)
Pressure Point additional pressure may be applied to a pressure point to help reduce bleeding.
How to stop a bleed
This is one of the most effective ways of stopping severe bleeding in almost any part of the body.
Place the palm or fingers over the bleeding point and apply direct pressure.
The bleeding will usually stop after a while.
Do not use the method if there is a foreign body in the wound or if a fracture is suspected.
With this method, there is also a slight risk of introducing germs into the wound. To prevent this, place a clean piece of material like lint or gauze over the wound before applying pressure.
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Care
Wash Hands
Flush the wound under running water
Clean / sterile dressing
Apply & maintain pressure
Position
Elevate the affected limb
Don’t disturb the wound clot
Care (Contd…)
Expose wound
* Remove foreign body, if visible
Bandage the wound
Check circulation below injury
Do not apply indirect pressure for more than 15 minutes
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Bleeding
Control bleeding from:
Injuries to the nose by:
Pinching the nostrils together.
Putting pressure on the upper lip just under the nose (e.g., place rolled gauze between the upper lip and gum and press against the outside of the lip with the fingers.
Having the victim sit slightly forward and do not tilt the head back.
Keeping the victim's airway open.
Quieting and calming the victim to reduce the blood flow.
Skull fracture by laying the victim on his/her side in the recovery position to prevent the victim from swallowing blood and getting it into his/her lungs.
Sinus infections, high blood pressure, and bleeding disorders by the same methods as injuries to the nose. If that doesn't work, try the recovery position.
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