First AidFirst Aid Bleeding ­ Internal Mgr. Zdeňka Kubíková Bleeding ­ Internal Mgr. Zdeňka Kubíková Bc. Barbora Zuchová and others ...and sport sometimes hurts...and sport sometimes hurts www.zzsjmk.cz Internal bleeding ­ headInternal bleeding ­ head Unconsciousness: see unconsciousnesssee unconsciousness When being consciousness,When being consciousness, don´t underrate! vomitingvomiting somnolence nauseanausea confused patient short ­ term unconsciousnessshort ­ term unconsciousness Always dial EMS 155 ! Flegel, 2004 Always dial EMS 155 ! Internal bleeding ­ abdomenInternal bleeding ­ abdomen Accident mechanism ­ blunt stroke (contusion) ice-hockey, skiing, cycling, fighting sports Position after accident: favourable positionPosition after accident: favourable position Shock development: Pale and cold skin, cold perspirationPale and cold skin, cold perspiration Rapid, weaker pulse... irregular Rapid and shallow breathingRapid and shallow breathing Feeling of thirst Anxiety, fearAnxiety, fear Nausea, vomiting Flegel,2004 Internal bleeding ­ abdomen First aid: Internal bleeding ­ abdomen First aid: dialling of EMS 155 keep the patient in his positionin his position measures against shock: Keggenhoff,2006 measures against shock: liquids ­ don´t give any liquids! heat ­ care about heat comfortheat ­ care about heat comfort subside ­ tactful encouragement... transport ­ don´t transport... dial 155!!! silence...silence... Chest injuryChest injury Accident mechanism: car accident, falls... Symptoms: dyspnoea, cyanosis First aid:First aid: dialling of EMS 155 check on vital signs ­ breathing and circulation and level of consciousnessand level of consciousness conscious patient ­ measures against shock half-sitting positionhalf-sitting position PneumothoraxPneumothorax When the chest is injured, by the lung can occure collapse wound heartheart diaphragma ČČK,2003 diaphragma