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Trauma

HEMORRHAGE

Signs and Symptoms in a Trauma Patient
• Obvious Arterial Bleeding
• Blood Pooling / Soaked Bandages
• Venous Bleeding from Extensive Penetrating Wounds (Multiple fragments)
• Tachycardia
• Distended / Tender Abdomen
• Shortness of Breath / Difficulty Breathing / Tachypnea
• Decreased LOC
• Signs / Symptoms Shock
• Hypotension

Continued From:
Tactical Evacuation Guideline
Apply Direct Pressure and
Indirect Pressure as able
Wound Location
Trunk
Extremity Chest / Abdomen / Pelvis Head

EXTREMITY GUIDELINE Penetrating HEAD INJURY GUIDELINE
Chest?
YES NO
Penetrating
CHEST TRAUMA GUIDELINE Abdominal / Pelvic?
• Occlusive Dressing
• Hemostatic Dressing/Pack
Needle Thoracostomy if SC or Axillary vessel • Hemostatic
Guideline hemorrhage Dressing / Pack
• Pressure Dressing Pelvic Cavities
Finger Thoracostomy • NEEDLE Thoracostomy • Pressure Dressing
Guideline • FINGER Thoracostomy • Direct and Indirect
• TUBE Thoracostomy Pressure
Tube Thoracostomy • Abdominal
Guideline Dressing
• Pelvic Binder
Consider Possibility of Hypotension /
Intra-abdominal Shock
Bleeding from Guideline
Penetrating
Abdominal Injury
Return to:
Tactical Evacuation
Guideline

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