Bleeding and Shock

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Bleeding and Shock

• Chapter 6

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Hemorrhage and its effects

• Hemorrhage
• Uncontrolled bleeding
• Leads to shock
• Severity of bleeding
• Size and type of vessel
• Victims condition
• Internal vs. external
• Bleeding begins a chain of events to compensate
  for the fluid and oxygen lost

• Arterial bleeding
• Venous bleeding
• Capillary bleeding
• Hemophilia

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Controlling bleeding

• Take infection control precautions
• Direct pressure
• Add additional dressings as needed
• No pressure if embedded object or protruding bone
• Ways to increase pressure
• Elevation
• Indirect pressure
• Not a substitute for direct pressure
• Dont use over a fracture

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• Nosebleed
• Causes
• Do not stop bleeding if suspect skull fracture
• Do not tilt the head back

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Bleeding you CANT see

• Internal bleeding
• Blunt trauma or fracture
• Signs/symptoms are similar to shock
• Care
• Shock
• Collapse and progressive failure of the
  cardiovascular system
• Fatal if untreated
• Signs/symptoms
• Stages
• Care

• Causes of shock
• Fluid lost from the circulatory system
• Heart fails to pump blood
• Blood pools in the extremities
• Types of shock
• Hemorrhagic
• Neurogenic
• Psychogenic
• Cardiogenic
• Metabolic
• Septic
• Anaphylactic

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Anaphylactic shock

• Intense allergic reaction to stings, foods,
  medicines
• Dire medical emergency
• Untreated victims WILL die
• Use Epi-Pen (if they have one)