1. Chapter 15: Bleeding and Shock

2. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Pulse Points  Locations on the body surface where arteries can be felt expanding and contracting

3. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Head and Neck Pulse Points  Temporal artery – slightly above the outer eye edge  Carotid artery – along the front margin of the sternocleidomastoid muscle

4. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Arm Pulse Points  Brachial artery – along the inner border of the biceps brachii  Radial artery – on the thumb side of the wrist

5. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Leg Pulse Points  Femoral artery – in the groin (inguinal) area  Popliteal artery – behind the knee  Dorsalis pedis artery – on the anterior surface of the foot, below the ankle joint

6. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Application/Removal of Gloves  To be effective, gloves must be properly put on and removed from the hands

7. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Application of Gloves  Arrange the glove so its thumb is lined up with the thumb of the hand.

8. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Application of Gloves (cont.)  Grasp the front of the cuff with one hand while inserting the other hand into the glove. Repeat for the other hand.

9. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Removal of Gloves  Grasp the palm or cuff of the left glove with the gloved right hand.  Pull the left glove toward the fingertips so the glove ends up inside out.

10. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Removal of Gloves (cont.)  Holding the removed glove in the gloved right hand, insert 2 fingers from the left hand under the cuff of the right glove.  Pull the right glove toward the fingertips of the right hand, ending up with the glove inside out and the left glove captured within the right glove.

11. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 OSHA Requirements  Intended to eliminate or reduce occupational exposure to blood and other infectious materials

12. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 OSHA Requirements (cont.)  Exposure Control Plan  Exposure determination  Methods of compliance –Standard precautions –Engineering controls –Work practice controls –Personal protective equipment

13. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 OSHA Requirements (cont.)  Methods of compliance (cont.) –Housekeeping/Waste disposal –Hepatitis B vaccination –Signs and labels on hazardous materials –Training  Postexposure follow-up

14. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Wound Care  Irrigate the wound with clean, cool water  Remove all foreign particles  Dry the wound  Treat with first-aid cream  Apply a dry sterile bandage

15. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Bleeding  There are three types of bleeding –Arterial bleeding can be severe. –Venous bleeding is less severe but can be profuse. –Capillary bleeding is slow but may increase the risk of infection.

16. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Shock  Shock is a failure of the circulatory system to oxygenate vital organs.  This is a medical emergency. Undetected shock can lead to death.