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Bleeding and Shock. Bleeding Control of bleeding Shock Care for Shock. Arterial Bleeding: Usually bright red in color, rapid & profuse-spurting with every heartbeat. Venous Bleeding: *Dark red/maroon in color, steady and can be profuse.
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Bleeding and Shock • Bleeding • Control of bleeding • Shock • Care for Shock
Arterial Bleeding: Usually bright red in color, rapid & profuse-spurting with every heartbeat. Venous Bleeding: *Dark red/maroon in color, steady and can be profuse. Capillary bleeding: slow/oozing bleed due to their small size and low pressure. Hemorrhage (general definition): Severe bleeding anywhere. Bleeding - Types of Bleeding
Plasma liquid Platelets coagulation RBC’s – erythrocytes gas carriers WBC’s – leukocytes infection fighters Bleeding Composition
Controlling Bleeding • Direct Pressure • Elevation • Pressure Points • Splinting • Cold Application • PASG/MAST • Tourniquet
Shock • Compensated: Body is able to continue to perfuse ALL portions of the body. • Decompensated: Body cannot compensate. • Irreversible: Cellular problems occur due to lack of perfusion. Death will occur, it is simply a matter of when.
Types of Shock • Cardiogenic Shock: Will never occur in a trauma patient. Associated with Congestive heart failure, as failure of the heart itself is what causes this problem. Treat Symptoms and transport. • Septic Shock: Systemic Shock due to an infection of some sort that has contaminated the blood stream. Treat as well as possible and transport. • Hemorrhagic/Hypovolumic Shock: Bleeding internally or externally from a major artery can quickly produce this type of shock. Vital signs will be an elevated HR. Can also be caused by burns or dehydration. Treat and Transport. • Nuerogenic Shock: Produced by the swelling of the spinal cord, or brain and compression of nerves. It causes issues with vascular tone. As a B, it is difficult to treat. ALS Intercept is recommended.