Chapter 7, 25, 26, and 27 Flashcards
What is trauma?
major cause of death for persons between 1 and 44.
What are the functions of blood?
transportation of gases, nutrition, excretion, protection (blood clots), and regulation (hormones and heat)
What is perfusion?
the supply of oxygen to and removal of wastes from the body’s cells and tissues as a result of the flow of blood through the capillaries
What is hypo perfusion?
the body’s inability to adequately circulate blood to the body’s cells to supply them with oxygen and nutrients
What is shock?
body’s inability to adequately circulate blood to the body’s cells to supply them with oxygen and nutrients, which is a life-threatening condition
What is hemorrhage?
bleeding, especially severe bleeding major cause of shock with only a certain amount of blood to circulate if enough is lost perfusion will not occur in cells with the brain, spinal cord, and kidneys the most sensitive to inadequate perfusions. Can be classified or external or internal, minor or severe
What is external bleeding?
bleeding occurring outside body, typically visible on surface of skin occurring after force penetrates skin and lacerates or destroys underlying tissues. How much someone bleeds is based on size and pressure of blood vessel that has been ruptured and the person’s ability to clot and stop the bleeding.
What is massive hemorrhage?
when extensive wounds open up large blood vessels or many smaller blood vessels.
What is arterial bleeding?
bleeding from an artery, which is characterized by bright red blood that is rapid, profuse, and difficult to control. Spurting with each heartbeat, and as pressure decrease in the system spurting will decrease and may not be noticeable
What is venous bleeding?
bleeding from a vein, which is characterized by dark red or maroon blood and a steady, easy to control flow. Wounds to large veins such as jugular veins can cause massive bleeding because even though has less pressure the sheer volume can cause immediate life thretening hemmorhagging in patients
What is junctional hemmorrhage?
where appendages of body connect to trunk and in these locations large arteries and veins tend ot be less well protected and particularly vulnerable to truamatic forces such as the neck, both armpits, and both sides of groin where it is likely. Control this kind of bleeding before managing airway.
What is capillary bleeding?
bleeding from capillaries, which is characterized by a slow, oozing flow of blood or superficial bleeding ceasing without intervention at all but can occur over large areas meaning there is a high risk of infection with non massive bleeding coming from veins and small arteries. Medications can make this worse and become life threatening
What are blood thinners? and what causes the blood to thin?
Medications such as warfarin (coumadin), clopidogrel (plavix), pradaxa (dabigatran), and xarelto (rivaroxaban) act to prevent stroke or heart attacks but can lead to life threatening bleeding from injuries that might be relatively minor. Hypothermia can can lead to impaired ability to clot.
What is external hemorrhaging?
External hemorrhaging is compressible and can be controlled by compressing the tissue around the wound or vessel that is bleeding
What are the signs and symptoms of blood loss?
pulse will increase in an attempt to pump more blood and as pulse gradually increases becomes weak and thready with patient becoming tachycardic
What is the treatment of bleeding?
Direct pressure, elevation of a limb, hemostatic agent, and tourniquet
What is direct pressure?
compress wound with direct pressure with gloved hand, dress, or pressure dressing and bandage. It compresses the tissue around the wound and diverts blood flow from the affected blood vessels. Firm pressure with palm of hands (finger for smaller wound), may apply body weight to enhance pressure with the amount of pressure based on the severity of the wound. Don’t use dressing if severe dont have time and hold pressure firmly until bleeding stops, once controlled cover with bandage. Don’t remove dressing once placed as it may remove clots or further injury applying additional dressings on top if bandage is soaked using more pressure or hemostatic dressing and tourniquet
What is a pressure dressing?
a bulk dressing held in position with a tightly wrapped bandage, which applies pressure to help control bleeding. And can control most extenal bleeding plazing several gauze pads on wound holding with self-adhering roller bandage wrapped tightly over dressings and above and below wound site make sure pressure isnt to much to be a tounriquet. Checking distal pulses to make sure isnt applied to tightly
What is elevation?
injured extremity has never been proven to decrease bleeding, done quickly and easily at the same time as applying direct pressure gravity helps reduce blood pressure in extremity, slowing bleeding. Dont do this if you suspect musculoskeletal injuries, implaed objects in extremity, or spine injury as movement of borken bone ends or pentrating objects can further damage the tissues.
What are hemostatic agents?
substances applied as powders, dressings, gauze, or bandages to open wounds to stop bleeding if direct pressure isnt working. Applying a material designed to absorb the liquid portion of blood and leave the larger formed elemts to form clot. Absorbent properties aiding direct pressure but not replaceing it and must apply pressure over it and useful for large cavity filling cavity with dressing to absorb filling but not into internal open wound such as penetrating truama to abdomen or chest
What is a tourniquet?
a device used for bleeding control that constricts all blood flow to and from extremity if direct pressure and hemostatic dressing dont work. Severe trauma to an extremity causing multiple lacerations, penetrations, and anatomic destruction leadings to bleeding in more than one area. Protruding broken bone ends and curhs-type amputations can also prevent ability to apply direct pressure leading to direct pressure not being necessary. Rapid solution to massive bleeding in an extremity, can quickly mve to address other pressing concerns like airway and breathing issues. Used only on extremity injuries, dont apply directly over joint, placing tourniquet two inches above bleeding wound. Never use narrow material to cut into skin even blood pressure cuff. Tighten to point where bleeding is controlled, with no distal pulse palpable or tighten till it can’t be tightened further note the time it has been applied visually monitoring it. May have to add a second tourniquet
What is splinting?
can control bleeding control since sharp ends of broken bones may cause tissue and vessel injury, stabilizing it and preventing further movement of bone ends preventing additional damage such as air splints even if no injury produces a form of direct pressure or one wound extending over length and most effective for venous and capillary bleeding not artery unless pressure applied
What is cold application?
controlling bleeding minimizing swelling and reducing bleeding by constricting blood vessels in conjunction with other manual techniques wrapping in cloth and for no longer than 20 minutes
What is head injury?
traumatic injuries resulting in fractured skull cause bleeding or loss of cerebrospinal fluid (CSF) from ears or nose. Head injury results in increased pressure within skull forcing fluid out of the cranial cavity and shouldnt attempt to stop bleeding or fluid loss as it may increase pressure allow pressure to drain slowly and use a pad to collect it