Steps for Controlling massive hemorrhage
Preparation
Identification
- Look for bright red, spurting blood.
- Check for pooling blood on the ground.
- Observe for large, deep wounds or lacerations.
- Watch for signs of shock: pale skin, rapid pulse.
- Determine the rate of blood loss.
- Evaluate the patient's vital signs: heart rate, blood pressure.
- Check for signs of shock or distress.
- Consider the patient's history and any existing conditions.
- Examine the patient for visible injuries.
- Palpate areas around suspected wounds.
- Use imaging if necessary to locate internal sources.
- Ask the patient or bystanders about the incident.
Immediate Response
Control Measures
- Select a commercial tourniquet or a makeshift one.
- Position the tourniquet 2-3 inches above the injury site.
- Tighten until bleeding stops; secure in place.
- Note the time applied for medical personnel.
- Open the hemostatic dressing package carefully.
- Apply directly to the wound, ensuring full contact.
- Press firmly for the recommended duration.
- Secure the dressing with additional bandages if necessary.
- Lift the limb above heart level to reduce blood flow.
- Support the limb with pillows or other padding.
- Ensure comfort and stability while maintaining elevation.
- Monitor for any signs of complications.
Monitoring
- Check pulse rate and rhythm every 5 minutes.
- Monitor level of consciousness using AVPU scale.
- Record blood pressure and respiratory rate regularly.
- Look for signs of shock (e.g., pale skin, confusion).
- Evaluate dressing saturation and change if necessary.
- Observe for changes in bleeding patterns.
- Assess the patient’s overall condition frequently.
- Document all findings and interventions promptly.
- Review patient response to interventions continuously.
- Be ready to initiate advanced measures if bleeding persists.
- Communicate changes to the medical team immediately.
- Re-evaluate the strategy based on vital sign changes.
Use in Manifestly