Bleeding external traumatic

Bleeding external traumaticWhat are the main causes of external traumatic bleeding? Outer traumatic bleeding is a complication of wounds of soft tissues and mucous membranes of the oral cavity, nasal passages, external genital organs. Injury to major arterial and venous trunks, break limbs can lead to rapid death of the victim. Is localization of the injury. Even superficial wounds of face and head, Palmar parts of the hands, soles with a good vascularization, and subcutaneous fat contains little fat lobules, accompanied by profuse bleeding. What types of traumatic bleeding secrete? Depending on the type of damaged blood vessels bleeding may be arterial, venous, capillary, hepatocellular, mixed. What are the distinguishing characteristics of the arterial, venous and capillary bleeding? For arterial bleeding is characterized by the secretion from the wound the blood pulsating stream. When venous bleeding blood darker and abundantly secreted from the wound in a continuous stream with no tendency to self-stop. In the wound, you can see the rugged Vienna. Capillary bleeding is observed in skin and muscle wounds. Blood is less intense than when wound in a large vein, has a tendency to self-stop, the amount of flowing blood depends on the size of the wound. What are the clinical manifestations of acute blood loss? The victim with acute blood loss, pale, covered with cold sweat, usually listless, indifferent to the environment, says in a quiet voice, complains of dizziness and flashing "flies" or darkening eyes when lifting the head, asks for a drink, said dry mouth. Pulse frequent, small filling, blood pressure lowered, and with the rapid outpouring of a large number of blood develops a picture of hemorrhagic shock with persistent hypotension. What are the basic principles stop external arterial bleeding? A major emergency event, often life-saving victim, is a temporary stop external bleeding. Arterial bleeding from vessels in upper and lower limbs, and stumps of limbs in traumatic amputations stop in two stages: first, press the artery above the injury site to a bony protrusion to stop the flow of blood to the injury site, and then impose a standard or improvised tourniquet. Under harness enclose a note indicating the time the tourniquet is applied. The time the tourniquet is applied will indicate in the cover sheet. How to stop external arterial bleeding from vessels of the upper extremities? Way to compress the brachial artery: enter the fist in the axilla and pressed a hand to the torso; the arteries of the forearm: put two packs of bandages in the elbow and the maximum bend arm at the elbow joint; the same for femoral artery: jam his fist on the upper third of the thigh in the groin area; the arteries of the leg and foot: in the popliteal region put two packs of bandages, leg maximum bend in the joint. After compressing the arteries start to the imposition of a tourniquet, which is put over the clothes, or enclose towel, a scarf, a piece of gauze. Harness down under the limb above the wound, much stretch and without reducing tension, tighten around the limb, catching on the hook for a chain link. For tourniquet is applied in the shoulder region, it is better to use a pneumatic cuff apparatus for measuring blood pressure as rubber harness, especially too tight, can compress the radial nerve, which further causes his persistent paresis with infringement of function of the hand and fingers. If the braid is imposed correctly, bleeding from a wound stops, the pulse at the radial artery or dorsal artery of the foot disappears, the distal parts of the limbs pale. Under harness enclose a note indicating the time the tourniquet is applied. How to stop external arterial bleeding from the arteries of the hand and foot? Arterial bleeding from the arteries of the hands and feet does not require the tourniquet is applied. Quite often tightly pribinova pack sterile bandage or tight roll of sterile wipes to the point of injury and give limbs elevated position. Harness used only kidding extensive multiple injuries and razmozjenia the hand or foot. Injured finger arteries stop tight pressure bandage. How to stop external arterial bleeding in the area of the scalp, head, neck and torso? Arterial bleeding in the area of the scalp (temporal artery), neck (carotid artery) and torso (subclavian and iliac arteries) stop by tight tamponade wounds. Forceps or clamp the wound tightly plugging napkins, on top of which you can put unexpanded bandage from sterile packaging and as close as possible to pribinova it. If the artery is visible in the wound, you can apply a hemostatic clips. As stops venous and capillary bleeding? Venous and capillary bleeding stop by imposing a tight pressure bandage. With knife wounds in the main vein can be made tight tamponade of the wound or apply a tourniquet. If blood loss is large, then the victim after you stop bleeding laid on the back on a stretcher without pillows, and the lower end of the stretcher is lifted, placing boards, bricks, books, etc. of the Patient covered by the blanket, give warm sweet tea, enter kordiamin to 2 ml subcutaneously, and when the pain additionally promedol - 2 ml How is the transportation and hospitalization of the victims? Hospitalization of patients is carried out in the Department of trauma and acute blood loss in the intensive care unit. Transportation on a stretcher in the supine position, with injuries to the arteries of the head and neck with a raised head end. What emergency medical activities are affected? When the delay hospitalization require special attention affected overlay harness. Every 2 hours in the warmer months and every half hour in the winter to produce the finger pressure of the artery above the harness and loosen the harness for a few minutes, then put it back above the old site. If this is not done, irreversible changes and necrosis of the limb. Syndrome of acute decompensated crofoot-ri spend drip intravenous blood substitutes and salt solutions. Organize a blood transfusion. Nurse conducts monitoring of urine output, because in response to the blood loss, urine output decreases until complete anuria..



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