TRAUMA – BLEEDING AND WOUND MANAGEMENT

NOSE BLEEDS

Management

  • Pressure should be applied using the thumb and index finger to the soft part of the nose just below the bone
  • The casualty should lean with the head forward & encouraged to spit out any blood
  • The casualty should remain seated and pressure applied for at least 10 minutes.
  • On a hot day or after exercise, it might be necessary to maintain pressure for at least 20 minutes
  • If bleeding continues for more than 20 minutes seek medical assistance

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MOUTH & TEETH INJURIES

 

Management

  • Ensure casualties airway remains clear of blood
  • If a lip injury, place a clean dressing on the bleed and squeeze between fingers
  • If a tongue injury and the person is able to do so, apply pressure with a damp dressing
  • If a tooth has been knocked out, ask the casualty if able to suck it clean and push it back into the tooth socket and press aluminium foil over the tooth and surrounding teeth to act as a splint and get the casualty to bite down
  • If not able to replace tooth in its socket, ask the casualty to place the tooth between bottom teeth and the lip or under the tongue to keep it moist with saliva
  • If unable to keep the tooth safely in the mouth, place the tooth in a cup of milk or in the casualty’s own saliva and use wet gauze pushed into the exposed gum. Be very careful with small children as they may swallow or choke on this.
  • ALWAYS HANDLE THE TOOTH BY THE CROWN NOT THE ROOT

 

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