1. Bleeding and Shock  Bleeding  Control of bleeding  Shock  Care for Shock

2. Bleeding - Types of Bleeding  Arterial Bleeding: Usually bright red in color, rapid & profuse-spurting with every heartbeat.  Venous Bleeding: *Dark red/maroon in color, steady and can be profuse.  Capillary bleeding: slow/oozing bleed due to their small size and low pressure.  Hemorrhage (general definition): Severe bleeding anywhere.

3. Bleeding Composition  Plasma liquid  Platelets coagulation  RBC’s – erythrocytes gas carriers  WBC’s – leukocytes infection fighters

4. Controlling Bleeding  Direct Pressure  Elevation  Pressure Points  Splinting  Cold Application  PASG/MAST  Tourniquet

5. Shock  Compensated: Body is able to continue to perfuse ALL portions of the body.  Decompensated: Body cannot compensate.  Irreversible: Cellular problems occur due to lack of perfusion. Death will occur, it is simply a matter of when. CompUncompIrreversible RRNormalRapid/shallow HRTachy BPNormal, Slightly Decreased DecreasedSeverely decreased SkinNormalCool Pale Diaphoretic Cool Pale Diaphoretic LOCNormal Anxious Restless Confused, Combative Altered Unconscious Unresponsive

6. Types of Shock  Cardiogenic Shock  Cardiogenic Shock: Will never occur in a trauma patient. Associated with Congestive heart failure, as failure of the heart itself is what causes this problem. Treat Symptoms and transport.  Septic Shock  Septic Shock: Systemic Shock due to an infection of some sort that has contaminated the blood stream. Treat as well as possible and transport.  Hemorrhagic/Hypovolumic Shock  Hemorrhagic/Hypovolumic Shock: Bleeding internally or externally from a major artery can quickly produce this type of shock. Vital signs will be an elevated HR. Can also be caused by burns or dehydration. Treat and Transport.  Nuerogenic Shock:  Nuerogenic Shock: Produced by the swelling of the spinal cord, or brain and compression of nerves. It causes issues with vascular tone. As a B, it is difficult to treat. ALS Intercept is recommended.