Chapter 9a - Bleeding Flashcards
External bleeding - capillary
S/s
Tx
s/s = ooze, risk of infection
tx = disinfect, dressing, bandage
External bleeding - venous
S/s
Tx
s/s = profuse, dark, risk shock
tx = direct pressure, more pressure/dressing, bandage, O2, shock prevention
External bleeding - arterial
S/s
spurting
bright red
risk shock
2 methods of applying pressure include:
manual pressure on sterile gauze over bleeding source
digital pressure on sterile gauze over bleeding source
If bleeding continues, do you remove the gauze? do you apply more or less pressure?
Do not remove the gauze
Apply MORE more pressure
What is the acronym THREAT
Threat suppression
Hemorrhage control
RE = rapid extrication to safety
Assessment
Transport to definitive care
If nothing else available. wound pack with individual gauze pads
FALSE
How much time after applying direct pressure with a dressing to control emergent hemorrhage do you choose to apply a tourniquet?
10 seconds
Tourniquet is applied proximal or distal to the wound?
PROXIMAL
What other tool can you use to create a tourniquet? name 2
BP cuff
Triangular bandage
Where is it more appropriate to do wound packing instead of applying a tourniquet?
Armpit
Groin
Back (outside cavity)
Where should we not wound pack?
Chest
Abdomen
Pelvis
*CAVITITES
Neck
Back (inside cavity)
When do you stop wound packing?
until no more gauze can be put inside the wound
What do you do if packing is ineffective (not enough pressure or depth)?
It may have to be removed and re-packed
Step 4 of wound packing mentions to apply very firm pressure to the packed wound for __ minutes
3 minutes
Why apply a splint or immobilize the area after wound packing?
To avoid dislodging the packing during transport
Can you delay transport for extensive packing and/or repacking the wound?
NO NEVER
Purpose of epinephrine gel as a coagulant
Vaso-constrictor
Contraindications to epinephrine gel
Fingers
Toes
Penis
Nose
Purpose of Monsell’s solution as a coagulant
Used to assist with minor bleed management
What is a styptic swabpoules?
Vials of Monsell’s with swabbing
Purpose of Anusol as a coagulant
Local astringent without Rx
Effective for small abrasions
What is the solution for No bleed?
Tincture of Ferric Chloride
Other name for hemostatic gauze
ACTCel
