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Wounds and Bleeding
| Question | Answer |
|---|---|
| What is the MAX time of scene for a trauma?Wh | 10mins |
| What is a wound? | An injury to living tissue that breaks its continuity |
| What are the types of wounds? | Contusion - Abrasion - Incision - Laceration - Puncture - Burn - GSW - Avulsion - Amputation - Degloving - Evisceration - Crush - Open - Closed |
| What is an Abrasion? | Top layer of skin damaged - Capillary Bleeding |
| What is an Incision? | Skin is broken by a sharp object - even edges - heavy bleeding |
| What is a Laceration? | Tearing of the skin layers - Jagged edges |
| What is an Avulsion? | Flap of skin torn loose - Partial or Complete |
| What is an Amputation? | Loss of limb - Partial or Complete |
| What is a De- gloving? | Skin completely torn off |
| What is an Evisceration? | Internal organs protruding out of the wound |
| What is a Crush injury? | Body compressed - Rhabdomyolysis - Ruptured Organs |
| What is a Puncture wound? | Penetrating - Sharp pointed objects - deep damage Perforation - Entry + exit - GSW/Blast injury |
| What can cause Epistaxis? | Trauma - Infection - Nose Picking - Hypertension - Bleeding disorder - Meds |
| What is the clotting Process? | Vasoconstriction of Blood Vessels - Formation of Platelet Plug - Blood clot reinforces plug with Fibrin Mesh - acts as a glue + holds clot in place |
| Where can you bleed into internally? | Thorax - Retroperitoneal - Long bones - Abdo - Pelvis |
| Types of Bleeding? | Capillary - Brick red + oozing Venous - Dark red + Flowing Arterial - Bright red + Spurting |
| Vol of Blood loss in the Humerus? | 500-750ml |
| Vol of Blood loss in the Pelvis? | 1000-5000ml |
| Vol of Blood loss in the Tibia? | 500-1000ml |
| Vol of Blood loss in the Rib? | 125ml |
| Vol of Blood loss in the Femur? | 1000-2000ml |
| Vol of Blood loss in the Radis/Ulna? | 250-500ml |
| How to manage bleeding? | P.E.E.P |
| What is an Arteriovenous Fistula or Shunt? | Pathway created to divert blood from another pathway |
| How to place a Tourniquets? | 5cm away from wound - Record time - Reasses + retighten if needed |
| What is the function of a Pelvic Binder? | Decreases bleeding space - support + stabilisation |