EXTERNAL BLEEDING
Three Types
 ___________ (oozing)
 ___________ (flowing)
 _________ (spurting)
Open wounds
 _____________ (scrape)
 Laceration (slice)
 ____________ (knife cut or paper cut)
 ______________ (knife stab or bullet)
 Avulsion (ear lobe tear)
 ______________ (body part cut or torn off)

CARE FOR MINOR EXTERNAL BLEEDING
 Wash with soap and water
 Flush with water
 Apply antibiotic ointment
 Cover wound
 Seek medical care for wounds with high likelihood of infection

CARE FOR SERIOUS EXTERNAL BLEEDING
 Wear gloves if available
 Cover with clean cloth or gauze
 Apply direct pressure
 Apply a pressure bandage
 Do NOT remove any blood soaked dressings

INFECTED WOUNDS
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Signs of infection
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Seek medical care for infected wounds.
Get tetanus booster shot every 10 years

CARE FOR AMPUTATIONS
• Control bleeding.
• Care for _______.
• Recover amputated part.
• Keep clean, _____, and _____.
• Transport the part with the victim.

CARE FOR IMPALED OBJECTS
• Expose area.
• Do NOT remove the object.
• Control bleeding around the object.
• __________ the object with bulky dressings.

WOUNDS THAT REQUIRE MEDICAL ATTENTION
• Arterial Bleeding
• Uncontrolled Bleeding
• Deep Wounds
• Large or deeply embedded objects
• Human or animal bite
• Cut eyelid
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Possibility of noticeable scar
Serious internal bleeding
Uncertain how to treat
Requires a tetanus shot

INTERNAL BLEEDING
Skin is not broken and blood is not seen.
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Recognizing internal bleeding
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Call 9-1-1.
Care for shock.
If vomiting occurs, roll victim onto his or her side.
CARE
Bruised arm or leg
 Apply ice for 20 minutes.
 Apply compression for 2 hours.
 Elevate if there is no fracture .
Serious Internal Bleeding
 Call 9-1-1
 Care for shock
 If vomiting occurs, roll victim onto his or her side

 Absorb blood
 Prevent infection
 Protect the wound
Types
 Gauze pads
 Adhesive strips
 Trauma dressings
 Improvised dressings
 Hold dressing in place
 Apply pressure to control bleeding
 Prevent or reduce swelling
 Support and stabilize an extremity or joint
 Gauze roller bandages
 Elastic roller bandages
 Triangular bandages

SHOCK
Circulatory system failure
 Pump (heart) failure
 Fluid loss
 Pipe failure (blood vessels)
Results from serious injury or illness

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RECOGNIZING SHOCK
 Altered mental status
 Nausea and vomiting
 Rapid Breathing
 Unresponsive in late stages
CARE FOR SHOCK

Most Common Causes
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ANAPHYLAXIS
Type of shock
Powerful reaction to substances that enter the body
Sign and Symptons
 Breathing difficulty
 Skin reaction
 Swelling of tongue, mouth, throat
 Sneezing, coughing
 Tightness in chest
 Blueness around lips and mouth
 Dizziness
 Nausea and vomiting

CARE FOR ANAPHYLAXIS
 Call 9-1-1
 If victim has his or her own EpiPen auto-injector, help with its use
USING AND _____________ AUTO-INJECTOR
 Remove safety cap
 Hold leg still
 Push firmly against leg and hold for 10 seconds

TYPES OF BURNS
___________(heat) Burns
Chemical Burns
___________ Burns
DEPTH OF BURNS
Depth (degree)
 ________ degree (superficial) – affects outer layer of skin
 ________ degree (partial thickness) – extends to inner layer of skin
 ________ degree (full thickness) – penetrate all layers of skin

FIRST DEGREE BURN (SUPERFICIAL)
Characteristics
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• No medical care
Examples
• Sunburn

SECOND DEGREE BURN (PARTIAL-THICKNESS)
Characteristics
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• Medical care for large burn
Examples
• Short direct contact with flame
• Hot water from stove

THIRD DEGREE BURNS (FULL-THICKNESS)
Characteristics
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EXTENT OF BURNS
Rule of the hand
 Victim’s hand equals ____% of _______________.
Ask Yourself :
Which parts of body are burned?
Other injuries or medical conditions?
Is patient elderly or very young?

CARE FOR 1 ST DEGREE BURNS
Cool burn until pain free.
Apply moisturizer such as ________ _________gel.
Administer OTC pain reliever as needed (ex, __________)

CARE FOR SMALL 2 ND DEGREE BURNS
Cool burn until pain free.
Apply antibiotic ointment.
Cover burn with dry, nonstick, sterile dressing.
Administer OTC pain reliever as needed (eg, ibuprofen).
Seek medical care.
CARE FOR LARGE 2 ND DEGREE & 3 RD DEGREE BURNS
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CHEMICAL BURNS
Results from ________ or ________ substance touching the skin
 Acids, alkalis, and organic compounds
Chemicals continue to burn as long as they are in contact with the skin; remove quickly.

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CARE FOR CHEMICAL BURNS

ELECTRICAL BURNS
Thermal burn (flame caused by electricity)
• Clothes catch fire from electrical wire
Arc burn (electricity jumps from one spot to another)
• Spark from electrical wire
True electrical injury (current passes through body)
• Electrocuted from jumper cables

CARE FOR ELECTRICAL BURNS
Make the scene safe.
 Unplug, disconnect, and turn off electricity.
Check responsiveness and breathing.
Provide CPR if needed.
Care for shock.
Call 9-1-1.