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BLEEDING & BURNS. Types of external injuries. Types of external injuries. Punctures. Laceration. Avulsion. Controlling external Bleeding. Check/Call/Care Precautions to avoid disease transmission. Cover the wound with dressing.
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Types of external injuries • Punctures
Controlling external Bleeding • Check/Call/Care • Precautions to avoid disease transmission. • Cover the wound with dressing. • *Press firmly against the wound (1st thing you should do- apply direct pressure) • Elevate the injured area above the level of the heart (only if you suspect the bone is NOT broken)
Controlling Bleeding • Cover the dressing with a roller bandage. • Tie the knot directly over the wound. • If bleeding does not stop- • Apply additional dressings • Use pressure point to squeeze the artery against the bone. • Call 9-1-1. • Care for shock.
Available materials • If you do not have gloves or bandages- • You can use towels, articles of clothing (but do not use materials that can tear easily such as paper towels or tissues) • Have the victim apply pressure if alert or use some kind of material to act as a barrier • Always wash your hands with soap and water after providing care
Internal Bleeding • Bruise- damage to soft tissue and blood vessels just under the skin’s surface • *Signs of internal bleeding*: • Tender, swollen and hard areas of the body • Skin that feels cool or moist or bluish in color • Vomiting blood or coughing up blood • The victim is becoming confused, faint or drowsy
Practice • Practice dressing and covering a wound.
Burns • Burns can be life threatening and lead to shock. • Burns can be caused by a variety of sources • A burn is an injury that damages and destroys skin layers
Burns • Caused by: • Flames (33%) • Scalds (30%) • Electrical (10%) • Chemical (10%) • Ultraviolet (10%) • Inhaled (5%)
Degree of Burns • 1st 2nd 3rd
1st degree burn epidermis, redness
2nd degree burn epidermis and dermis, red, moist and weepy
3rd degree burn all skin layers, appears charred and leathery
Care for burns • Check/Call/Care • Stop the burning. • Remove the victim from the source of the burn. • Cool the burned area. • Use large amounts of cool water • Cover the burn with a dressing. • Use dry, clean, sterile dressing to help prevent infection.
Care for burns • Always monitor ABCs • Provide care for shock while waiting for EMS to arrive
DON’TS of Burn Care • DO NOT: • Apply ice directly to the any burn unless it is very minor • Touch a burn with anything except a clean covering • Remove pieces of cloth or clothes that stick to the burned area or try to clean a severe burn • Break blisters or use any kind of ointment on a burn.