With internal bleeding, blood flows out within the skull, chest, or abdomen. In case of trauma or a condition where internal bleeding is likely, it is required to see a doctor as soon as possible.
Bleeding, what to do with bleeding, visible signs of internal bleeding, bleeding with a foreign body in a wound, first aid.
Sensations of a victim with internal bleeding.
Pain aggravated by touching the head or body.
Nausea and / or vomiting.
Cold, clammy and pale skin.
Weak pulse, the frequency of which increases.
Frantic attempts to gasp for air.
Internal bleeding is not always noticeable, however, there are critical signs that you need to pay attention to.
Visible signs of internal bleeding.
|Part of the body||Injury, condition||Sign|
|An ear||Skull fracture
Damage to the ear canal or eardrum
|Blood and clear fluid
|Blood and clear fluid
|Mouth||Fracture of the jaw or damage to the oral cavity||Scarlet blood|
|Lungs||Lung or airway injury||Bright red foamy blood coughs|
|Stomach||Gastric or duodenal ulcer||Dark brown vomit (“coffee grounds”)|
|Intestines||Bowel damage||Black tarry chair|
|Kidney||Damage to the kidneys or kidney stones||Dark urine with blood|
|Bladder||Bladder or urethra damage||Blood stained urine, sometimes with clots|
What to do with internal bleeding.
Help the victim take the most comfortable position. Let him choose how to lie down so that the pain subsides or at least does not intensify. Place a pillow or blanket to maintain your position. When the victim is conscious, the posture with slightly raised legs is usually optimal. Call an ambulance as soon as possible, as sudden deterioration or loss of consciousness is possible.
Cover the victim with clothing or a light blanket (unless it is hot). If the victim is outside and cold, carefully place something under his body (blanket, clothes, or just newspapers). The victim should remain as stationary as possible to avoid further blood loss..
Calm and reassure the victim. Observe changes in his condition and determine your heart rate and respiration every few minutes. If the victim loses consciousness, turn him to the injured side (if known). Stay close to the victim until the ambulance arrives.
Foreign body bleeding in a wound.
If there is a foreign body in the wound (a glass fragment, a piece of metal, a sliver), press around it to stop the bleeding. Make a bandage around or on either side of the wound. You can’t take out a foreign body yourself, as it can inhibit bleeding. Secure the bandage with an octagonal or kerchief bandage around the foreign body.
If the leg is injured, carefully lift it by placing a pillow or a folded blanket. If there is an injury on the forearm or on the hand, make a fixative bandage. Seek medical attention as soon as possible since the foreign body must be removed with extreme care to avoid the resumption of bleeding and further tissue damage. An alien body significantly increases the risk of infection, therefore appropriate measures are required.
After cutting, a person usually instinctively presses a wound to stop bleeding and relieve pain. If you raise the injured part of the body higher, the pain will decrease, as the pressure in the blood vessels will decrease. If the wound is severe (wide or deep), the first aid is exactly the same.
If possible, attach a gauze napkin or other tissue to the wound to prevent infection and avoid contact with another person’s blood. However, if the bleeding is very strong, do not waste time looking for a bandage. The main thing with bleeding is to quickly stop the loss of blood.
What to do with severe bleeding from a wound.
When bleeding, press on the wound through a sterile or at least clean dressing, preferably a thick one. It can be made from napkins, sheets, etc. Even better, if the victim himself will squeeze the wound, because he will apply pressure more adequately. Help the victim relax. It’s best to lie down. If he feels weak and dizzy, slightly raise his legs..
Secure the bandage with bandages or a folded scarf. If there is no bandage, use a stocking or other long strip of fabric. Keep an eye on the color of your fingertips to make sure the bandage is not too tight. If the skin on the injured side appears bluish, white, or spotty, the bandage should be loosened..
After dressing, make sure that the bleeding is stopped. If the blood comes out, replace the bandage. Do not make a second dressing over the first, as this will reduce pressure on the wound. If your forearm or hand is injured, make a dressing to support your arm and relieve pain..
Based on the book Ambulance, home directory of emergency conditions.