Bleeding outside
Bleeding outside (of the wound) is due to damaged blood vessels in open mechanical injuries or violation of permeability of the wall. By bleeding divided by mean arterial, venous and capillary. Capillary bleeding from parenchymal organs called parenchymal. The risk of bleeding is not so much the loss of red blood cells, as in the reduction of circulating blood volume and hemodynamic disturbances.
Blowouts, pulsing blood stream in combination with a red color, a sign of arterial bleeding. When bleeding from large veins upper body blood may also flow out intermittent jet, but in synchronism with the respiratory movements, rather than a pulse. When arterial bleeding vessel clamping proximal the injury stops bleeding, venous - amplifies it. When capillary bleeding blood flows evenly from across the wound surface. The severity of the external bleeding is assessed based on the nature of the bleeding (arterial, venous, capillary), the caliber of the bleeding vessel, the outpouring of blood velocity. Dangerous secondary bleeding due to breakage of a blood clot damaged vessel, such as violation of immobilization during transport of the victim.
Treatment. Temporary stop arterial bleeding achieved by applying a tourniquet, twist, turnstile, the pressure on the bleeding vessel at the site of damage or over. When venous and capillary bleeding effective compressive bandage. tourniquet is used for bleeding on the legs: it is applied as close as possible to the site of injury by placing a tourniquet matter. Low tourniquet only enhances the bleeding efficiency tourniquet determined. to stop the bleeding, pallor limbs, lack of pulse in the periphery. Wiring is not recommended to keep more than 2 hours, it should be noted during tourniquet. Not to forget about the victims with a tourniquet, especially in the mass of their admission, it is not recommended to close a tourniquet with clothing or a bandage. In no event it is impossible to cool the victim.
When bleeding in the head, neck, proximal limb, which harness the imposition technically difficult, you can use finger pressing of the artery above the injury site to the underlying bone. However, even physically strong person is not able to push the vessel is more than 15 to 20 minutes. This technique is important to prepare for a tourniquet. Final hemostasis is achieved by ligation of both ends of the bleeding vessel. A similar method can be recommended to the distal extremity knee and elbow joints: the ligation of one of the two main blood supply to the limb vessels provided a second artery. When bleeding proximal to the knee and elbow joint needs vascular suture or plastic container (with the destruction of it to a considerable extent). Ligation of the vessel at this level leads to gangrene of the limb.
- Surgical diseases
- Abscess
- appendiceal abscess
- Abscesses of the abdominal cavity
- Abscess Douglas space
- abscess mezhkishechny
- lung abscess
- An abscess of soft tissues
- Soft tissue abscesses posleinektsionnye
- hepatophyma
- Amebic liver abscess
- Prostate adenoma
- actinomycosis
- Aneurysm
- false aneurysm
- true aneurysm
- An aneurysm of the aortic arch
- An aneurysm of the descending thoracic aorta
- dissecting aneurysm
- Abdominal aortic aneurysm
- Aneurysm, peripheral vascular
- arteriovenous aneurysm
- heart Anevriama
- acute Appendicitis
- Punching process
- appendiceal infiltrate
- pylephlebitis
- Ateroma
- bronchiectasis
- Varicose veins
- Varicocele
- Hydrocele and spermatic cord
- Archoptosis
- gas gangrene
- Gangrene lung
- Hemorrhoids
- hydradenitis
- gynecomastia
- Hernias
- Hernias internal
- Hiatal hernia
- External hernia
- inguinal hernia
- femoral hernia
- Epigastrocele
- Hernia postoperative ventral
- umbilical hernia
- Rare species of hernias
- pinching
- Hernial sac phlegmon
- False strangulated hernia
- Hernias with inflammation
- Dumping
- Diverticula
- esophageal diverticula
- Cervical diverticulum
- Bifurcation diverticulum
- Epifrenalny diverticulum
- Epifrenalny diverticulum
- gastric diverticula
- Duodenal diverticula
- Meckel's diverticulum
- Jaundice manual
- Biliary Stones
- Valve common bile duct stone
- Papillostenoz
- Biliary stricture
- Cancer of the pancreas head
- Cholelithiasis
- Acute urinary retention
- Zollinger-Ellison Syndrome
- Foreign body bronchus
- Foreign body of the stomach
- Foreign bodies of the esophagus
- Foreign soft tissues of the body
- Carbuncle
- Brushes and neck fistulas lateral
- Cysts and fistulas medial neck
- Colitis ulcerative
- The oil epithelial course
- cryptorchism
- Bleeding
- Bleeding internal
- Gastrointestinal bleeding
- Varicose veins
- Mallory syndrome - Weiss
- Bleeding into the abdominal cavity
- Bleeding pulmonary
- parenchymal hemorrhage
- Crohn's disease
- lymphadenitis
- lymphangitis
- Mastitis
- putrid mastitis
- Acute mastitis nelaktatsionny
- Chronic mastitis
- megacolon
- mediastinitis
- ileus
- Paralytic ileus
- Mechanical bowel obstruction
- X-ray diagnostics
- Certain types of intestinal obstruction
- ingrown nail
- freezing injury
- Local cooling
- Burn
- Occlusion of the great arteries
- Acute occlusion of limbs
- Acute occlusion of mesenteric vessels
- Chronic occlusion of arterial vessels
- Obpiteriruyuschy atherosclerosis
- aortoiliac type
- Femoropopliteal type
- Peripheral type
- Occlusion of the aortic arch branches
- Occlusion of the carotid arteries
- Occlusion of the subclavian artery
- Takayasu syndrome (pulseless disease)
- Chronic occlusion of mesenteric vessels (intestinal angina)
- Renal artery stenosis
- thromboangiitis obliterans
- Raynaud's disease
- orchiepididymitis
- acute abdomen
- Acute pancreatitis
- Chronic pancreatitis
- Acute cholecystitis
- whitlow
- whitlow skin
- paronychia
- whitlow hyponychial
- whitlow tendon
- whitlow joint
- whitlow bone
- Penetrating gastric ulcer and duodenal ulcer
- Peritonitis
- chronic Peritonitis
- pneumoempyema
- spontaneous pneumothorax
- postcholecystectomical syndrome
- perforated ulcer
- uNDERCOVER perforation
- bedsore
- Prostatitis
- Wounds
- Fistulas of the rectum
- Stenosis of the output of the stomach
- Anal fissure
- Urethritis
- Phimosis, paraphimosis
- phlebemphraxis
- Occlusion of the subclavian vein
- Phlegmon
- Furuncle
- cholangitis
- electrical accident
- empyema
- Congenital intestinal obstruction
- Atresia of the anus
- Congenital holangiopatii newborns
- pyloristenosis
- Embryonic hernia (hernia of the umbilical cord)
- Schistocystis
- Hydrocele and spermatic cord
- Surgical diseases of the chest
- Congenital diaphragmatic hernia
- Congenital lung cysts
- Pneumothorax
- tracheoesophageal fistula
- Mastitis newborn
- Acute hematogenous osteomyelitis
- Peritonitis neonates
- Acute abscess
- Necrotic phlegmon newborn
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