3 Hemorrhage Assessment and Control Free Online FlashCards

Why reassess a trauma patient for hemorrhage?

Repeat examinations and track vital-sign trends because bleeding and shock can evolve after the initial assessment.

Which findings may signal poor perfusion after trauma?

Tachycardia, narrowing pulse pressure, cool or clammy skin, delayed capillary refill, weak peripheral pulses, restlessness, confusion, or decreasing alertness may indicate poor perfusion.

Does the absence of hypotension rule out serious hemorrhage?

No. Hypotension is often a late sign, so its absence does not rule out serious hemorrhage.

Can an initial normal hemoglobin rule out acute blood loss?

No. An initially normal hemoglobin or hematocrit does not exclude acute blood loss; interpret repeat testing alongside examination and overall clinical status.

Where can major concealed blood loss collect after trauma?

Consider the chest, abdomen, pelvis and retroperitoneum, and soft tissues around long-bone fractures, especially the femur.

What is the first control measure for life-threatening external bleeding?

Apply firm, steady direct pressure to the wound. Maintain pressure rather than repeatedly lifting the dressing to check.

How should a suitable deep wound be packed?

For a deep wound that can be packed, fill it firmly with gauze—ideally hemostatic gauze if available and you are trained to use it—and maintain pressure.

Which cavities must not be packed with gauze?

Do not pack the chest or abdominal cavity.

Where should a tourniquet go for life-threatening arm or leg bleeding?

Place a commercial tourniquet proximal to the wound, not over a joint, and tighten it until bleeding stops.

What if life-threatening bleeding continues after tourniquet application?

Tighten the tourniquet or apply a second one above the first, following training and local protocol.

What should you do after applying a tourniquet?

Note the application time, and do not loosen or remove the tourniquet yourself.

What is central to hemorrhage-focused resuscitation?

Definitive control of the bleeding source is central; fluids alone cannot stop hemorrhage. Advanced care may combine rapid control with protocol-guided blood products while limiting excessive crystalloid.