Bleeding
Z. Rozkydal


•External bleeding
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•Internal  bleeding
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•Artery injury
•Vein injury
•Capillars injury
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•Can be life threatening condition
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•Artery injury
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•Signs:
•Blood is jetting up from the wound
•Blood is clear red
•Blood is pulsating
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•Vein injury
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•Signs:
•Blood is slowly getting out from the wound
•Blood is dark red
•Blood is not pulsating
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•Signs:
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•Weakness, sweating, thirst,
•pale skin, tachycardia, hypotensis
•unconsciousness
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•Blood loss  0,5 l (10 %)- compensation
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•Blood loss up to 2 l (30 %)- shock is evident
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•Blood loos above 2 l- breathing will cease
•                                   the heart will stop
•                                   loss of consciousness
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•Wound of big artery- death in 1,5 minute
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•First aid
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•Remove clothing
•Apply a dressing over the wound
•Direct pressure over the wound
•Maintain direct pressure
•Use pressure points
•Esmarch band
•The casualty should be in horizontal position

•First aid
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•No eat and no drink
•Monitor vital signs
•Call the ambulance
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Internal bleeding
Bleeding inside body cavities
-Blow of blunt objects
-Closed fractures
-Nose, mounth, stomach ulcer,
    oesophagus varices
-Urethra, anus, vagina
-Abdominal cavity

•Internal bleeding
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•The signs of  bleeding vary depending
•on the site
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•First aid
•Principles against the shock
•Ice pacs
•Transport
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•Surgical management
•Plasma expanders, plasma, blood