BLEEDING
Definition of Bleeding
• Bleeding (also called hemorrhage) is the loss of
blood from the circulatory system. It can occur
internally (within the body) or externally (through a
wound or body opening).
Bleeding becomes life-threatening if not managed
promptly and effectively, as it can lead to shock,
organ failure, and death
Types of Bleeding
• Bleeding can be categorized in multiple ways: by location, vessel type, and
appearance.
A. According to Blood Vessel Involved:
Arterial Bleeding
Venous Bleeding
Capillary Bleeding
B. According to Site:
1. External Bleeding – Visible through skin or natural orifices.
2. Internal Bleeding – Occurs inside the body; harder to detect.
3. Visible Internal Bleeding – Blood comes from mouth, nose, ears, rectum, etc.
4. Hidden Internal Bleeding – No external signs; symptoms develop over time.
SIGN AND
SYMPTOMS OF
BLEEDING
Performance Steps for External Bleeding:
• Receive Instruction and Ensure Safety:
Wear gloves or use a barrier (plastic bag) if available.
Assess the scene for safety (sharp objects, ongoing danger).
• Reassure the Victim:
Calm the person; anxiety can increase heart rate and bleeding.
• Position the Person Properly:
Help them lie down.
Elevate the injured part (if not fractured) to reduce blood flow.
Contd…
•Expose the Wound:
•Apply Direct Pressure:
Use sterile gauze or a clean cloth to press directly on the wound.
Maintain firm pressure for at least 5–10 minutes.
•Elevate the Bleeding Limb (if safe): Above heart level to reduce bleeding.
• Apply a Pressure Bandage:
Wrap firmly with a clean bandage to maintain pressure.
Check for circulation below the bandage.
Contd...
• Use Tourniquet as Last Resort (for limb bleeding only):
Apply only when bleeding is life-threatening and cannot be controlled.
Note time of application (release every 20 minutes if help is delayed).
• Monitor Vital Signs: Check consciousness, breathing, pulse, and skin color.
• Do Not Remove Embedded Objects
• Seek Medical Referral Promptly
First Aid for Internal Bleeding:
• Lay the Person Flat:
Keep them warm and still.
• Do Not Give Food or Drink:
Surgery may be needed; food can complicate it.
• Monitor Breathing and Pulse.
• Seek Emergency Medical Help Immediately.
Criteria for referral
Immediate referral to healthcare facilities is needed if:
• Bleeding does not stop within 10 minutes
• Arterial bleeding is suspected
• Victim shows signs of shock
• The wound is large, deep, or caused by an animal or dirty object
• Bleeding is from ears, nose, mouth, rectum, or urine
• The person is on blood thinners or has a bleeding disorder
Preventive Measures
• Use personal protective gear (gloves, masks)
• Keep wounds clean to avoid infection
• Educate community on safe handling of sharp tools
• Encourage tetanus shots for open injuries
• Train on proper wound management and dressing