Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
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Included In This Lesson
Study Tools For Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Bleeding Precautions (Mnemonic)
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.
Adaptive Brain SIMCLEX Study Plan – 7 Apr 2026
Concepts Covered:
- Legal and Ethical Issues
- Medication Administration
- Substance Abuse Disorders
- Microbiology
- Emergency Care of the Trauma Patient
- Shock
- Renal Disorders
- Urinary Disorders
Study Plan Lessons
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Infectious Diseases: Multidrug-Resistant Organisms (MRSA, VRE, CRE, ESBL) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Bleeding for Certified Emergency Nursing (CEN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Renal Calculi for Certified Emergency Nursing (CEN)
Multi-Drug Resistant Organisms (MRSA, VRE) for Certified Emergency Nursing (CEN)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Infection