EXTERNAL BLEEDING
*Bleeding may look worse than it is.
*Control with pressure
* Dressing – covers wound to stop bleeding
TYPES OF BLEEDING
• Arterial- bright red- squirts
• Venous- dark red- steady flow
• Capillary-ooze
CALL 911 IF:
*A lot of bleeding
* Can’t stop
*S/SX of shock
*Head/neck/spine injury
* Don’t know
TREATMENT:
Scene safety
↓
Gloves/PPE
↓
Airway
↓
Apply dressing with pressure
↓
If continues add more gauze & pressure
↓
Co...
OTHER TREATMENT
P R E S S U R E P O I N T S P R E S S U R E B A N D A G E S
TOURNIQUET -USED IF YOU CAN’T STOP
BLEEDING
P R E M A D E
T O U R N I Q U E T S
-911
-apply 2 inches above
site
-tighten u...
NOSE BLEEDS
Person may swallow blood & cause vomiting
Tx:
-PPE
-press both sides of nostrils., have pt. sit up & lean forw...
BLEEDING FROM MOUTH
May be serious if airway is blocked
Tx:
-PPE
-apply pressure with gauze
- 911 if
- can’t stop bleeding...
TOOTH INJURIES
May be a choking hazard
Tx:
-PPE
-ck mouth for loose teeth
-rinse with H20
- Loose tooth –bite down on gauz...
EYE INJURIES
Pain/trouble seeing- bruising bleeding
redness
TX. FOR EYE INJURY
-PPE
-911
-keep eye closed
- If irritant → rinse with h20
- Bandage both eyes to ↓ simultaneous eye
mov...
OTHER TREATMENT
I M P A L E D O B J E C T
Stabilize
911
Extruding eye:
Cover w moist drsg.
Protect eye/shield
C H E M I C ...
TX;
-PPE
-Leave in place
-911
-control bleeding
-use doughnut to control bleeding & secure
TREATMENT
-PPE
-911
-control bleeding
-find amputated part
-rinse
-wrap with clean gauze
-place in bag & seal
-place in ic...
??? INTERNAL BLEEDING IF?
-BLUNT FORCE
-HEMATOMA
S/SX OF INTERNAL BLEEDING
Bruising
Pain
Swelling
Bleeding- mouth, vagina, rectum
Vomiting blood or coffee ground emesis
Pa...
TX;
-Safety?
-PPE
-airway
-911
-lie down & stay still
-√ shock ?
-? CPR
??? HEAD INJURY IF:
S/SX OF HEAD INJURY:
-no response
-sleepy
-confused
-vomiting
-H/A
-vision problems
-difficulty moving
-seizures
-open hea...
SPINE & NECK INJURIES
DO NOT MOVE!!
Suspect if:
->65
-car/bike wreck
-falls
-weaKness/numbness/tingling
-neck/back pain
-a...
TX:
-PPE
-911
-Monitor LOC
-DO NOT MOVE
** If need CPR do jaw thrust manuever
TYPES OF INJURIES
Strain- pull or tear
Sprain-overstretch ligament
Dislocation- out of place
Fracture- broken bone
- open ...
SPRAINS/FRACTURES
S / S X :
Swelling
Discoloration
T X :
-PPE
-CSM-circulation, sensation,
movement
-cover open wound
-ice...
SPLINTING
-keeps injured area from moving
- Can use towels, magazines or wood
Guidelines:
-PPE
-Stop bleeding
-Splint-supp...
TYPES
Thermal- heat
Chemical- chemicals
Electrical- electricity
Radiation- sun, radiation, x-rays
DEGREES OF BURNS
1st degree- superficial
2nd degree-partial thickness
3rd degree- full thickness
RULE OF NINE’S
TX:
-safety?
-PPE?
-small burn- run under cool H2O
-cover w non stick drsg
-remove jewlry or clothing if not stuck
-911 if...
CHEMICAL BURNS
Flush with large amounts water x 20 minutes
If powder chemical brush off w gloves hand prior to flush w H20
TX:
-Safety? MAKE SURE ELECTRIC OFF!
-PPE
-911 & AED
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
Chapter 3 injury emergencies cvberger
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Chapter 3 injury emergencies cvberger

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Chapter 3 injury emergencies cvberger

  1. 1. EXTERNAL BLEEDING *Bleeding may look worse than it is. *Control with pressure * Dressing – covers wound to stop bleeding
  2. 2. TYPES OF BLEEDING • Arterial- bright red- squirts • Venous- dark red- steady flow • Capillary-ooze
  3. 3. CALL 911 IF: *A lot of bleeding * Can’t stop *S/SX of shock *Head/neck/spine injury * Don’t know
  4. 4. TREATMENT: Scene safety ↓ Gloves/PPE ↓ Airway ↓ Apply dressing with pressure ↓ If continues add more gauze & pressure ↓ Con’t until bleeding stops Small wounds : wash with water apply antibiotic ointment
  5. 5. OTHER TREATMENT P R E S S U R E P O I N T S P R E S S U R E B A N D A G E S
  6. 6. TOURNIQUET -USED IF YOU CAN’T STOP BLEEDING P R E M A D E T O U R N I Q U E T S -911 -apply 2 inches above site -tighten until bleeding stops -note time -get help ASAP -leave on M A K I N G A T O U R N I Q U E T -fold cloth: long & 1 inch wide --apply 2 inches above site -tie ends around a stick -turn stick to tighten until bleeding stops -note time -get help ASAP -do not remove
  7. 7. NOSE BLEEDS Person may swallow blood & cause vomiting Tx: -PPE -press both sides of nostrils., have pt. sit up & lean forward -press until bleeding stops -911 if: con’t after 15 minutes gushing blood trouble breathing CSF –clear, pink, yellow
  8. 8. BLEEDING FROM MOUTH May be serious if airway is blocked Tx: -PPE -apply pressure with gauze - 911 if - can’t stop bleeding -trouble breathing
  9. 9. TOOTH INJURIES May be a choking hazard Tx: -PPE -ck mouth for loose teeth -rinse with H20 - Loose tooth –bite down on gauze to keep in place →dentist -chipped tooth-clean→ dentist -tooth falls out → put in milk/h20→dentist do not touch root
  10. 10. EYE INJURIES Pain/trouble seeing- bruising bleeding redness
  11. 11. TX. FOR EYE INJURY -PPE -911 -keep eye closed - If irritant → rinse with h20 - Bandage both eyes to ↓ simultaneous eye movement
  12. 12. OTHER TREATMENT I M P A L E D O B J E C T Stabilize 911 Extruding eye: Cover w moist drsg. Protect eye/shield C H E M I C A L I N E Y E Flush w h2o x 20 min.
  13. 13. TX; -PPE -Leave in place -911 -control bleeding -use doughnut to control bleeding & secure
  14. 14. TREATMENT -PPE -911 -control bleeding -find amputated part -rinse -wrap with clean gauze -place in bag & seal -place in ice -to hospital
  15. 15. ??? INTERNAL BLEEDING IF? -BLUNT FORCE -HEMATOMA
  16. 16. S/SX OF INTERNAL BLEEDING Bruising Pain Swelling Bleeding- mouth, vagina, rectum Vomiting blood or coffee ground emesis Pale, clammy skin Thirst LOC change
  17. 17. TX; -Safety? -PPE -airway -911 -lie down & stay still -√ shock ? -? CPR
  18. 18. ??? HEAD INJURY IF:
  19. 19. S/SX OF HEAD INJURY: -no response -sleepy -confused -vomiting -H/A -vision problems -difficulty moving -seizures -open head wound
  20. 20. SPINE & NECK INJURIES DO NOT MOVE!! Suspect if: ->65 -car/bike wreck -falls -weaKness/numbness/tingling -neck/back pain -acts drunk
  21. 21. TX: -PPE -911 -Monitor LOC -DO NOT MOVE ** If need CPR do jaw thrust manuever
  22. 22. TYPES OF INJURIES Strain- pull or tear Sprain-overstretch ligament Dislocation- out of place Fracture- broken bone - open fracture: wound -closed: no wound
  23. 23. SPRAINS/FRACTURES S / S X : Swelling Discoloration T X : -PPE -CSM-circulation, sensation, movement -cover open wound -ice x 20 minutes (place towel b/t ice & skin) -911 if -lg open wound -abnormally bent -splint ** DO NOT STRAIGHTEN Area!
  24. 24. SPLINTING -keeps injured area from moving - Can use towels, magazines or wood Guidelines: -PPE -Stop bleeding -Splint-support above and below joints, do not straighten -Secure splint with ties, tape -√ tightness- 2 fingers -can self splint arm against chest/leg
  25. 25. TYPES Thermal- heat Chemical- chemicals Electrical- electricity Radiation- sun, radiation, x-rays
  26. 26. DEGREES OF BURNS
  27. 27. 1st degree- superficial 2nd degree-partial thickness 3rd degree- full thickness
  28. 28. RULE OF NINE’S
  29. 29. TX: -safety? -PPE? -small burn- run under cool H2O -cover w non stick drsg -remove jewlry or clothing if not stuck -911 if: -fire -lg burn Stop, drop & roll if on fire
  30. 30. CHEMICAL BURNS Flush with large amounts water x 20 minutes If powder chemical brush off w gloves hand prior to flush w H20
  31. 31. TX: -Safety? MAKE SURE ELECTRIC OFF! -PPE -911 & AED
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