Fi AidFirst Aid Mgr Zdeňka Kubíková Bleeding Internal Mgr. Zdeňka Kubíková Bc. Barbora Zuchová and others and sport sometimes hurts...and sport sometimes hurts www.zzsjmk.cz Internal bleeding head Unconsciousness: Internal bleeding head see unconsciousness When being consciousnessWhen being consciousness, don´t underrate! vomiting somnolence nausea confused patientconfused patient short term unconsciousness Al di l EMS 155 ! Flegel, 2004 Always dial EMS 155 ! Internal bleeding abdomenInternal bleeding abdomen Accident mechanism blunt stroke (contusion) ice-hockey, skiing, cycling, fighting sports P i i f id f bl i iPosition after accident: favourable position Shock development: Pale and cold skin cold perspirationPale and cold skin, cold perspiration Rapid, weaker pulse... irregular Rapid and shallow breathing Feeling of thirst Anxiety, fear Nausea, vomiting Flegel,2004 , g Internal bleeding abdomen First aid: Internal bleeding abdomen First aid: dialling of EMS 155 keep the patient in his position measures against shock: liquids don´t give any liquids! Keggenhoff,2006 liquids don t give any liquids! heat care about heat comfort subside tactful encouragement... transport don´t transport dial 155!!!transport don t transport... dial 155!!! silence... Chest injury Accident mechanism: car accident falls Chest injury Accident mechanism: car accident, falls... Symptoms: dyspnoea, cyanosis First aid:First aid: dialling of EMS 155 check on vital signs breathing and circulationcheck on vital signs breathing and circulation and level of consciousness conscious patient measures against shock half-sitting position Pneumothorax When the chest is injured, by the lung can occure collapse Pneumothorax wound heart ČČK,2003 diaphragma