INTERNAL BLEEDING AND TREATMENT
UNUTRAŠNJA KRVARENJA
INTERNAL BLEEDING WITH BLOOD OUT OF BODY HOLES
Bleeding in the lungs - the patient coughs up light, frothy blood
Bleeding in the esophagus, stomach or duodenum - the patient vomits dark red or black blood that looks like coffee grounds, the stool is often tarry black.
Bleeding in the intestines - fresh red blood rectally, bloody stools
Bleeding in the kidney or bladder - Red, bloody urine ..
INTERNAL BLEEDING WITHOUT BLOOD OUT OF BODY HOLES
Bleeding into the abdominal cavity
Chest Bleeding - Accompanied by difficulty breathing.
Bleeding into muscles - When breaking large bones, especially the thigh or upper arm bones, bone fragments can damage a blood vessel and cause heavy internal bleeding. Injury to a blood vessel can occur at the time of a fracture, but also subsequently, by improper manipulation and omission of immobilization of the injured part of the body. A femoral fracture is especially dangerous, in which the injured person can lose up to 1.5 liters of blood if the femoral artery is injured.
With each strong blow to the abdomen (eg in a car accident) we must suspect the possibility of internal injuries with bleeding into the abdominal or thoracic cavity, even when the injured person feels relatively well and there are no visible injuries. The most common are bursts of the spleen and liver, but other internal organs can also be injured. Internal bleeding can be very slow, with the first signs only after several hours.
SIGNS OF BLEEDING
Loss of large amounts of blood leads to general weakness, sweating, dizziness, tinnitus and sparking in front of the eyes. In severe cases, all signs of shock develop (decreased pressure, rapid pulse, scanty urination). The injured person should be placed in a supine position, preferably with raised legs and arms (autotransfusion position) and covered.
PROCEDURE
Internal bleeding cannot be stopped by first aid measures. If you recognize such a condition as a civilian, call an ambulance immediately, so an emergency transport to the hospital is necessary. Immobilize bone fractures before transport, and during transport monitor vital parameters, and the administration of primarily colloids, and in the absence of colloids in the horizon and crystalloids. A person must not eat or drink.