Page 57 - GTE Operations Manual
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FIRST AID PAGES
Internal bleeding
Is difficult to recognise but always consider this if there are signs and symptoms
of shock. Includes bruises, hematomas, bleeding with fractures, severe bleeding from pregnancy.
SIGNS AND SYMPTOMS
Bleeding
DRSABCD
HOW TO HELP
D
DANGERS
Check for hazards and risks.
Ensure safety for self, casualty and bystanders. Wear gloves.
R
RESPONSE (AVPU)
Check for response.
S
SEND FOR HELP
Consider calling ambulance 111. Consider AED.
INTERNAL BLEEDING:
ɠ pain, swelling, tenderness over or around the area, blood from body opening
ɠ bright red, frothy blood, coughed up from lungs
ɠ bright red or dark brown vomited blood
ɠ blood stained urine
ɠ genital bleeding
ɠ bright red or black rectal bleeding
A
AIRWAY
Check airway.
B
BREATHING
Check breathing.
C
CIRCULATION/CPR
Control bleeding, treat for shock.
D
DEFIBRILLATION
Consider AED for severe bleeding.
HOW TO HELP
SPECIFIC CARE
Think RED
– Rest and Reassure.
– Expose.
– Dressing and Direct or Indirect
Pressure.
Add more bandages if blood seeps through. Monitor ABCs.
Restrict movement, immobilise the injury, keep casualty at total rest.
MANAGE INTERNAL BLEEDING:
Internal bleeding may be life threatening and require urgent hospital treatment.
Call ambulance 111
GENERAL CARE
Keep casualty warm and reassured. DO NOT give anything to eat or drink.
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INTERNALBLEEDING | DRSABCD