Moderate bleeding

Medium urgency
-Very severe

It refers to the leakage or loss of blood from within the blood vessels of approximately 500-1500 cc. Bleeding can be arterial, venous or capillary and can be of internal (inside the body) or external (outside the body) origin.

It can be caused by accidents, injuries, ulcers, varicose veins and other diseases.

Clinical symptoms may include pallor, cold sweats, tachycardia (rapid heartbeat), tachypnea (rapid breathing), weakness, drop in body temperature, hypotension (low blood pressure) and anxiety and/or confusion.

The diagnosis is made by taking a medical history and performing a physical examination. Additional tests may include a complete blood count and imaging studies, depending on the cause of the bleeding.

Treatment must be done in hospital. It is based on maintaining vital signs, replacing lost blood volume and stopping the source of bleeding with bandages, stitches and/or surgical treatment.

Bibliographic references
  1. American Red Cross. Traumatic injuries. In: American Red Cross First Aid/CPR/AED Participant's Manual. Yardley, PA: StayWell; 2016:chap 6.
  2. Bulger EM, Snyder D, Schoelles K, et al. An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014;18(2):163-173. PMID: 24641269 www.ncbi.nlm.nih.gov/pubmed/24641269.
  3. Simon BC, Hern HG. Wound management principles. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 52.
  4. G.H. Guyatt,A.D. Oxman,R. Kunz,G.E. Vist,Y. Falck-Ytter,H.J. Schunemann. What is quality of evidence and why is it important to clinicians?. BMJ, 336 (2008), pp. 995- -98 http://dx.doi.org/10.1136/bmj.39490.551019.BE. Medline.
  5. G.H. Guyatt,A.D. Oxman,R. Kunz,Y. Falck-Ytter,G.E. Vist,A. Liberati. Going from evidence to recommendations. BMJ., 336 (2008), pp. 1049-1051 http://dx.doi.org/10.1136/bmj.39493.646875.AE. Medline.
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Symptoms

    Moderate bleeding 760-1500 ml


    Tachycardia


    State of anxiety


    Bleeding


    Cut or injury

Pre-hospital care recommendations

Wash the wound thoroughly with soap and water.
Press to stop the bleeding.
Apply a clean bandage that does not stick to the wound.
In case the blood leaks through the placed bandage, place a new bandage on top of the previous one.