Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)

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Study Tools For Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)

Bleeding Precautions (Mnemonic)
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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

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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.

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