RR Review

Deadly Bleeds

• Assessed immediatley
• Go to the skin
• Internal - tenderness, impact suspected, redness
• D.I.C.E

Goals in Treating

• Stop the bleeding
• Clean & keep it that way
• Promote healing
• Preserve the function of the area.

Shock Review

Shock is ...

• failure of circulatory system
• Psychological shock can mask other issues
• Hypovolemic = loss of volume
• Physiological shock isn’t field treatable
• ID and slowing onset
• Immediate evacuation

Circulatory system - heart, vessels, blood
Lungs where o2 is loaded and CO2 is unloaded
Shock is related to one of the above areas

Cue Human Body 3D app

Still Shocking

• Most common is hypovolemic shock
• MOI to determine location/cause
• Psychological (fight or flight) mimics Physiological (deal with former)
• Signs - skin still pale & cool, pulse @ or 100+, nausea, dry mouth, thirsty, anxious

Treatment

• Reduce circulation workload
• Stop bleeds
• Splint fractures
• Taco - keep as warm as possible
• Hydrate (electrolytes)
• Raise legs if needed

1910 suggestion
Use a distracting pain to mask a subtle internal bleed.
Use increase signs to indicate hypovolemic shock.