1. © St John Ambulance 2011 | Registered charity no. 1077265/1 St John Ambulance Please note: Any deviation from the slides contained in the original presentation are not sanctioned by St John Ambulance. Individuals will be held personally liable for any information on additional slides added to this presentation.

2. © St John Ambulance 2011 | Registered charity no. 1077265/1 Bleeding and shock

3. © St John Ambulance 2011 | Registered charity no. 1077265/1

4. Bleeding and shock By the end of this session you will be able to: recognise and safely treat someone who has a severe bleed understand the risk of cross-infection and minimise the risks to both the casualty and the first aider recognise and treat for shock.

5. © St John Ambulance 2011 | Registered charity no. 1077265/1 Starter What differences would you see between a graze and a deep cut? GrazeDeep cut

6. © St John Ambulance 2011 | Registered charity no. 1077265/1 What you will see: bleeding from a wound an object may sometimes be embedded in a wound signs of shock. Bleeding and shock – severe bleed

7. © St John Ambulance 2011 | Registered charity no. 1077265/1 What you should do: ask the casualty to apply pressure to the wound and raise the injured part, if possible. If an object is embedded in the wound, push the edges of the wound together put on disposable gloves, if available and expose the wound. Apply a sterile dressing treat for shock. Bleeding and shock – severe bleed

8. © St John Ambulance 2011 | Registered charity no. 1077265/1 What you will see: pale, cold, clammy skin (at first) grey-blue skin weakness and dizziness nausea and possibly vomiting. Bleeding and shock - shock

9. © St John Ambulance 2011 | Registered charity no. 1077265/1 What you should do: treat any injuries that may have caused shock help the casualty to lie down raise and support the casualty’s legs, if possible loosen any tight clothing keep the casualty warm and call an ambulance be prepared to resuscitate. Bleeding and shock - shock NOTE – be aware of the casualty’s age and ability to move when laying them down and raising their legs.

10. © St John Ambulance 2011 | Registered charity no. 1077265/1 Shock

11. © St John Ambulance 2011 | Registered charity no. 1077265/1