Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Wounds & bleeding_slides

2,415 views

Published on

BFA PPT Pictures of different wounds

Published in: Education
  • Login to see the comments

Wounds & bleeding_slides

  1. 1. ST JOHN’S AMBULANCE BRIGADE PUBLIC SERVICE DEPT. FIRST-AID LESSON WOUNDS & BLEEDING 1. Incised wound (severe), Abrasion, Punctured wound 2. Lacerated wound 3. Contused wound, internal bleeding 4. Gunshot wound 5. Impalement 6. Amputation 7. Crush injuries 8. Abdominal wound 9. Chest wounds
  2. 2. OBJECTIVES To distinguish between the different types of bleeding To be able to control bleeding To minimize shock and infection
  3. 3. THE FOLLOWING PICTURES SHOWN MAY BE VERY DISTURBING AND GORY! YOU MAY COVER YOUR EYES IF YOU DO NOT WANT TO LOOK. DISCLAIMER!
  4. 4. TYPES OF WOUND Incised wound
  5. 5. Lacerated wound TYPES OF WOUND
  6. 6. TYPES OF WOUND Abrasion
  7. 7. TYPES OF WOUND Contused wound
  8. 8. Punctured wound TYPES OF WOUND
  9. 9. TYPES OF WOUND Gunshot wound
  10. 10. Impalement TYPES OF WOUND
  11. 11. TYPES OF WOUND Amputation
  12. 12. TYPES OF WOUND Crush injuries
  13. 13. TYPES OF WOUND Abdominal wound
  14. 14. TYPES OF WOUND Chest wounds
  15. 15. Internal bleeding TYPES OF WOUND
  16. 16. Arterial bleeding Venous bleeding Capillary bleeding Bright red in color (oxygenated blood) Dark red in color (deoxygenated blood) Flows in spurts in time with heartbeat (pumped from heart to other parts of body; higher pressure ) Blood gushes out profusely (lower pressure in veins; blood flow is more smooth) Blood oozes out at site of wound (lowest pressure in capillaries) Severed main artery (e.g.carotid artery) may jet blood several feet high (pressure is highest in main arteries) Blood loss is usually slight Rapidly reduce the volume of circulating blood TYPES OF BLEEDING & THEIR CHARACTERISTICS
  17. 17. CAROTID ARTERY
  18. 18. GENERAL Minor extent of bleeding (external) Treatment (PCEDM) 1. Apply direct Pressure with a sterile dressing 2. Clean the wound by rinsing lightly under running water, or using an antiseptic wipe. 3. Elevate above heart level 4. Apply small adhesive, sterile Dressing 5. Seek Medical aid if bleeding does not stop, or if there is risk of infection.
  19. 19. GENERAL Severe extent of bleeding (external) 1. Dial for Ambulance (995). 2. Expose the wound 3. Apply direct Pressure over the wound with a sterile dressing 4. Elevate and support the wound above heart level. 5. Lay the casualty down Treatment (AEPELDLS)
  20. 20. Severe extent of bleeding (external Treatment (AEPELDLS) • 6. Apply sterile Dressing and secure it firmly in place with a • bandage • 7. If bleeding seeps through, apply another Layer of • bandage on top • 8. Treat for Shock.
  21. 21. Incised wound (severe), Abrasion, Punctured wound An open wound Rapid, weak pulse Swell Pain Signs & Symptoms
  22. 22. Incised wound (severe), Abrasion, Punctured wound Treatment 1. Apply direct pressure using a sterile dressing. 2. Elevate the wound above heart level. 3. Apply a sterile dressing over the wound and bandage firmly to secure it in place. 4. If bleeding seeps through the bandage, apply another layer of bandage over the previous layer. 5. Apply cold compress to the swell. 6. Check and treat for shock.
  23. 23. Moving the fractured/dislocated limbs may aggravate the condition. For casualties suffering from lower body fractures/dislocations, it may not be possible to treat for shock. Limitations Incised wound (severe), Abrasion, Punctured wound
  24. 24. Incised wound (severe), Abrasion, Punctured wound Warning! DO NOT bandage too tightly. Constantly check for circulatory refill. DO NOT remove the previous layer of bandage. DO NOT apply cold compress for more than 10 minutes as it may result in frostbite.
  25. 25. • Large area of raw flesh • Bleeding • Rapid, weak pulse • Pain Lacerated wound Signs & Symptoms
  26. 26. Treatment Lacerated wound 1. Apply direct Pressure with a sterile dressing 2. Elevate above heart level 3. Apply sterile Dressing, and secure with micropore 4. If bleeding seeps through, Apply another layer of dressing over the previous layer. 5. Check and treat for shock.
  27. 27. • may not be applicable for casualties who are also suffering from fractures or dislocations on the limbs • If casualty is suffering from lower body fractures/dislocations, it may not be possible to treat for shock Limitations Lacerated wound
  28. 28. • Ensure that the sterile dressing is larger than area of wound • Do not remove the previous layer of dressing • Do not apply cold compression for more than 10 minutes Warning! Lacerated wound
  29. 29. • Blue-black colouration • Swell Contused wound, internal bleeding Signs & Symptoms
  30. 30. 1. Apply cold compression to the area of injury 2. If blue-black colouration persistently remains, consult a qualified medical worker. (contusion) 3. Dial for ambulance, 995 if it is in the case of internal bleeding. Contused wound, internal bleeding Treatment
  31. 31. • Do not apply for more than 10 minutes as it may result in frostbite. Contused wound, internal bleeding Warning!
  32. 32. • open wounds, entry and exit, with shapes of a bullet tip • Rapid, weak pulse • Swell • Pain Gunshot wound Signs & Symptoms
  33. 33. 1. Douse entry and exit wounds with water for 10 minutes. 2. Apply direct pressure using a sterile dressing. 3. Elevate the wound above heart level. 4. Apply a sterile dressing over the wound and bandage firmly to secure it in place. Treatment Gunshot wound
  34. 34. 1. If bleeding seeps through, apply another layer of bandage over the previous layer. 2. Apply cold compress to the swell. 3. Check and treat for shock. Gunshot wound Treatment
  35. 35. • This may not be applicable for casualties who are also suffering from fractures or dislocations on the limbs • If casualty is suffering from lower body fractures/dislocations, it may not be possible to treat for shock Gunshot wound Limitations
  36. 36. • Do not bandage too tightly such that circulation is impeded. • Do not remove the previous layer of bandage • Do not apply cold compression for more than 10 minutes Warning! Gunshot wound
  37. 37. • An object embedded onto the skin of the casualty • Bleeding • Rapid, weak pulse • Swell • Pain Impalement Signs & Symptoms
  38. 38. 1. Using sterile dressings, build up padding on both sides of the object, until the object is stabilized. 2. Secure the padding with bandages. Impalement Treatment
  39. 39. 1. If bleeding seeps through, apply another layer of bandage over the previous layer. 2. Apply cold compress to reduce swelling. 3. Check and treat for shock Impalement Treatment
  40. 40. • If casualty is suffering from lower body fractures/dislocations, it may not be possible to treat for shock Impalement Limitations
  41. 41. Impalement Warning! • Do not bandage too tightly such that circulation is impeded. • Do not remove the previous layer of bandage • Do not apply cold compression for more than 10 minutes
  42. 42. • A stud on the casualty • Amputated body part nearby • Rapid, weak pulse • Pallor Amputation Signs & Symptoms
  43. 43. Wound: • Apply direct pressure with a sterile dressing. • Elevate the wound above heart level. • If bleeding seeps through, apply another layer of bandage over the previous layer. • Check and treat for shock. Treatment Amputation
  44. 44. Amputated part: 1. Collect the amputated part and wrap it in gauze, after which you wrap it in a plastic bag and place it in another plastic bag of crushed ice. 2. Send the amputated part to the hospital together with the casualty. Treatment Amputation
  45. 45. • This may not be applicable for casualties who are also suffering from fractures or dislocations on the limbs • If casualty is suffering from lower body fractures/dislocations, it may not be possible to treat for shock Amputation Limitations
  46. 46. • Do not remove the previous layer of bandage • Make sure the plastic bag is not damp Amputation Warning!
  47. 47. • A fallen object crushing onto the casualty • Pain Crush injuries Signs & Symptoms
  48. 48. If casualty is crushed for less than 15mins: 1. Release him/her as soon as possible. 2. Treat any possible wounds/fractures found on the casualty. 3. Check and treat for shock. 4. Dial for ambulance 995 Crush injuries Treatment
  49. 49. If casualty is crushed for more than 15mins: 1. do not release the casualty. 2. Instead, call for ambulance and 3. reassure casualty. Crush injuries Treatment
  50. 50. • An open wound • Rapid, weak pulse • Pallor • Possible protruding intestine Abdominal wounds Signs & Symptoms
  51. 51. 1. If intestine is protruding, cover with large, moist sterile dressing, then cover with a plastic sheet and secure it lightly. 2. If there is no protruding intestine, check if wound is horizontal or vertical. Abdominal wounds Treatment
  52. 52. For vertical wounds, 1. Do not raise legs. Instead, 2. just apply pressure at site of wound to control bleeding. 3. Check and treat for shock. Abdominal wounds Treatment
  53. 53. If wound is horizontal • keep legs propped up/raised and • cover wound with sterile dressing. • Check and treat for shock. Abdominal wounds Treatment
  54. 54. • Do not raise leg if wound is vertical. Warning! Abdominal wounds
  55. 55. • An open wound • Rapid, weak pulse • Possible foreign object still embedded at wound • Pallor • Sucking wound (if lung is punctured) • Wheezing sound (if lung is punctured) Chest wounds Signs & Symptoms
  56. 56. 1. Cover the wound and apply pressure with a sterile dressing. 2. Cover with a plastic sheet and tape 3 sides of the plastic, leaving the bottom side open (apply airtight bandage). 3. Apply a chest bandage. 4. Check and treat for shock. Chest wounds Treatment
  57. 57. 1. For casualties with punctured lungs, tilt him/her to the injured side. 2. Regulate casualty’s breathing Chest wounds Treatment
  58. 58. ST JOHN’S AMBULANCE BRIGADE PUBLIC SERVICE DEPT. FIRST-AID LESSON Any Questions?

×