Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Included In This Lesson
Study Tools For Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Outline
Wound Bleeding (Uncontrolled External Hemorrhage)
Definition/Etiology:
Active Blood loss ranging from mild to severe/life threatening
Collaborative Management:
- ABCs
- Stop the bleed!!!
- Apply direct pressure to external bleeding
- Elevate bleeding extremity, ice to encourage vasospasm and vasoconstriction
- Clamp or ligate bleeding vessels (MD), tourniquet
- Splint fractures – Pelvic binder/sheeting or stabilizer for unstable pelvic fractures, traction splint for midshaft femur fractures
- O2, IV access, fluid/blood administration
- Establish IV access for administrations of crystalloid fluids/blood
- Infuse warmed normal saline solution/blood to maintain blood pressure
Evaluation | Patient Monitoring | Education:
- Hemodynamic status
- Cardiac rate and rhythm
- Intake and output
- Extremity neurovascular status
- Pain relief
- Labs: type and cross, cbc
Linchpins: (Key Points)
- Decreased volume=heart / tries to compensate but with nothing to pump, not super effective
- fix the source ASAP
- Stop the bleed!!!
- ABCs
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
- Bacidore, V. (2017). Orthopedic and Wound Emergencies. In CEN Online Review. Emergency Nurses Association.