3. Risk of infectious disease from contact with the
patient’s blood or body fluids
Follow standard precautions
Serious injury may prevent effective clotting
Significant blood loss will cause shock and possibly
death
4.
5. Perform the standard assessment
Estimate severity of blood loss
Assess the patient for shock
10. Used to control bleeding
Prevents contamination
Dressings should be:
◦Sterile
◦Larger than the wound
◦Thick, soft, compressible
◦Lint free (no cotton balls)
12. Hemorrhage: Rapid blood loss
◦ Adult: 1 quart may lead to shock
◦ Child: 1 pint loss of blood
Dressing
◦A protective covering for a wound
–
Bandage
◦A material used to hold a dressing
in place
13. Application
◦Wash hands
◦Dressing should extend over
edges of wound
◦Do not touch dressing surface
that is to be next to the wound
◦Cover with a bandage
14. Holding dressings in place
Applying pressure
Prevent or reduce swelling
Provide support or stability
15. Leave toes and fingers
exposed if possible
◦Bandage too tight? Check for
color, circulation, temperature
Wrap towards the heart
◦Small end of bone to large end
16. Roller gauze
Improvised
Triangular
Adhesive / paper
tape
Adhesive strips
Tourniquets are
rarely recommended
◦ Damage to nerves
and vessels
22. Wrap in dry clean cloth
◦Do not wrap in wet dressing
Place in waterproof container
Place bag on bed of ice
Transport immediately
23. DO NOT REMOVE !!!!!!!!!!!!
Control bleeding
Stabilize object
Shorten object only if necessary
One exception:
◦ If impaled in cheek and > l hour
from help and Pencil is through &
through
Control bleeding
Dressings inside and outside of
cheek
24. Do not apply pressure to eye
Place padding around object
Stabilize object
◦Paper cup
Cover both eyes
◦Explain to victim
25. Flush 20 minutes
with low pressure
water
◦ Remove contacts
◦ Flush outward
◦ Roll eyeball
Loosely bandage
both eyes with
cold, wet
dressings
27. Do not replace in
socket
Cover loosely with moistened
sterile dressing
Pad around area
Cover with paper cup etc.
Cover uninjured eye
28. Watery blood could mean a skull fracture
Allow victim to sit up and tilt the affected
ear lower to let blood drain out
Only if no Spinal Injury Suspected
Cover ear with loose dressing but DO NOT
apply pressure
30. Rinse mouth / rinse tooth if dirty
Place roll of gauze in the socket
Do not scrub or use alcohol or
mouthwash on the tooth
Never touch root
Transport in cold, whole milk
32. Suspect spine
injury
Profuse bleeding
Skull or brain
exposure?
Indentation in
skull?
Control bleeding
33. Depressed skull fracture?
◦ Apply pressure around edges of
wound
◦ Elevate head and shoulders if
appropriate
Lessens bleeding
Do not remove impaled
objects
◦ Immobilize with bulky dressings
34. Signs and symptoms
◦ Penetrating wound
◦ Point tenderness
◦ Deformity
35. ◦ Bleeding from ears or nose
◦ Leakage of clear or pink watery fluid
from ears or nose (CSF fluid)
Halo effect
◦ Discoloration under eyes or behind ears
◦ Unequal pupils
◦ Profuse bleeding
36. Monitor ABC’s
Apply dressing
Control bleeding as best as possible
Stabilize neck (elevate head if appropriate)
Do not clean open skull fracture
Do not stop CSF flow