Haemorrhage and Bleeding Quiz
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Questions and Answers

What characterizes a crush injury?

  • It is typically associated with minor swelling and bruising.
  • It is caused by applying force over a long period of time. (correct)
  • It results from direct impact with a hard surface.
  • It involves only superficial tissue damage.
  • Which of the following is a common sign of a wound indicating possible infection?

  • Light tenderness to the touch
  • Clear discharge from the wound
  • Minimal swelling around the area
  • Fever or generalized chills (correct)
  • Which of the following actions is appropriate when managing a bleeding wound?

  • Advise the casualty to eat something before help arrives.
  • Apply ice directly to the wound area.
  • Remove any foreign object deeply embedded in the wound.
  • Wash the wound with a clean water source for 10-15 minutes. (correct)
  • What is the recommended position for a casualty with a suspected internal bleeding?

    <p>Supine with shoulders slightly raised (D)</p> Signup and view all the answers

    Which symptom is NOT typically associated with a haematoma?

    <p>Excessive bleeding from an open wound (B)</p> Signup and view all the answers

    What should NOT be done when dealing with a wound that has a foreign body embedded?

    <p>Remove the foreign body as quickly as possible. (C)</p> Signup and view all the answers

    What is a primary reason for applying a dressing to a wound?

    <p>To prevent infection and keep the area clean. (A)</p> Signup and view all the answers

    Which of the following is an important step when managing external bleeding?

    <p>Ensure that the casualty is calm while waiting for help. (A)</p> Signup and view all the answers

    What distinguishes first intention healing from other types?

    <p>Healing occurs quickly with minimal scarring and less risk of infection. (C)</p> Signup and view all the answers

    Which of the following is a sign of internal bleeding?

    <p>Pale skin and low blood pressure. (B)</p> Signup and view all the answers

    What is the first step in managing external bleeding?

    <p>Elevate the bleeding part and apply firm pressure. (C)</p> Signup and view all the answers

    When is it appropriate to use a tourniquet?

    <p>When there is significant bleeding that cannot be controlled by direct pressure. (A)</p> Signup and view all the answers

    Which factor is least likely to impede wound healing?

    <p>Adequate blood transfusion. (B)</p> Signup and view all the answers

    What complication arises due to the involvement of blood vessels in a wound?

    <p>Hemorrhage. (C)</p> Signup and view all the answers

    Which statement about third intention healing is correct?

    <p>It is characterized by hyper granulation and delayed healing. (B)</p> Signup and view all the answers

    Which factor is crucial for promoting wound healing?

    <p>Adequate balanced diet. (B)</p> Signup and view all the answers

    Which of the following accurately describes epistaxis?

    <p>Bleeding that occurs from a vein in the nose (A)</p> Signup and view all the answers

    What is the recommended position for a casualty experiencing a nosebleed?

    <p>Sitting upright with their head tilted forward (B)</p> Signup and view all the answers

    What is the primary purpose of applying a tourniquet?

    <p>To stop the bleeding from a severely damaged limb (D)</p> Signup and view all the answers

    Which of the following is NOT a guideline for effective tourniquet application?

    <p>It should be applied directly on the skin (C)</p> Signup and view all the answers

    What distinguishes hemoptysis from other types of bleeding?

    <p>Blood is bright red and frothy due to oxygen content (B)</p> Signup and view all the answers

    In the context of bleeding management, what should be the initial response to external bleeding?

    <p>Apply pressure directly to the wound (A)</p> Signup and view all the answers

    When should a tourniquet be loosened during application?

    <p>Every 15 minutes if bleeding restarts (A)</p> Signup and view all the answers

    What color is the blood typically associated with vomiting blood from the upper gastrointestinal tract?

    <p>Brown, resembling coffee grounds (C)</p> Signup and view all the answers

    Flashcards

    Hematoma

    A collection of blood outside blood vessels, often caused by a blunt injury.

    Crush Injury

    Tissue damage caused by extreme force over a long time.

    Wound Redness

    A sign of a wound, indicating inflammation.

    Wound Swelling

    Excessive swelling around a wound, a sign of injury.

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    Wound Pain

    Throbbing or tenderness, signaling damage and inflammation.

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    Wound Cleaning

    Washing the wound with clean water to remove dirt and debris, preventing further infection.

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    Wound Dressing

    Covering the cleaned wound with a sterile pad or dressing to protect it and prevent infection.

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    Immobilize Injured Part

    Holding the injured part still to prevent further damage, especially near a joint. Use splints if needed

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    Epistaxis

    Bleeding from the nose, usually from a vein, often occurring in one nostril.

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    Hemoptysis

    Coughing up blood from the respiratory tract, resulting in bright red, frothy blood due to oxygen.

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    Causes of Epistaxis

    Possible causes include dry air, trauma, high blood pressure, and nose picking.

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    First Aid for Epistaxis

    Steps include tilting the head forward, applying pressure to the bridge of the nose, and seeking medical attention if the bleeding persists.

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    Hematemesis

    Vomiting up blood from the upper gastrointestinal tract. Blood is often darker due to undigested food or gastric juice.

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    Causes of Hematemesis

    Causes include bleeding from peptic ulcers, swallowing coughed blood, and fractured skulls.

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    Melena

    Blood in the stool (fecal matter) from the lower gastrointestinal tract. The color is dark black due to intestinal juices.

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    First Aid for Melena

    Call emergency services as melena is a sign of serious internal bleeding.

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    First Intention Healing

    A type of wound healing characterized by rapid closure, minimal scarring, and low infection risk. Often seen in surgical wounds with clean edges.

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    Second Intention Healing

    A slower healing process where the wound is left open to granulate, resulting in more scarring and greater infection risk. This is common in wounds with irregular edges or significant tissue damage.

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    Third Intention Healing

    A delayed closure healing where the wound is initially left open but later closed with sutures. This is done for contaminated wounds or those where tissue loss makes immediate closure impossible.

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    Signs of Wound Infection

    Indicators that a wound is becoming infected, including pain, fever, redness, pus, foul odor, swelling, and heat around the injury.

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    Factors Promoting Wound Healing

    Actions and conditions aimed at promoting wound repair, such as balanced diet, heat application, antibiotics, elevation, rest, blood transfusions, aseptic wound dressing, and debridement.

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    Factors Impeding Wound Healing

    Conditions or actions that can hinder wound healing, including low immunity, anemia, infection, dehydration, hypoxia, advanced age, malnutrition, lack of rest, disease conditions, shock, hematoma, improper suturing, and foreign objects.

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    Hemorrhage (Wound Complication)

    Bleeding from a wound, ranging from minor to severe, depending on the severity of the injury and blood vessel involvement.

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    Sepsis / Infection (Wound Complication)

    A serious complication where germs invade the wound. It usually develops a few days after the injury.

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    Study Notes

    Haemorrhage or Bleeding

    • Haemorrhage is the oozing or escape of blood from blood vessels
    • Three main types of blood vessels include arteries, veins, and capillaries
    • Causes of haemorrhage include direct injury to blood vessels, diseases of blood vessels (infection or malignancy), and diseases of the blood itself (e.g., haemophilia)

    Classification of Bleeding

    • Bleeding can be classified by source
      • Arterial bleeding: spurting, bright red blood, profuse and rapid due to high pressure
      • Venous bleeding: slow, steady flow, dark red blood, easier to control due to less pressure
      • Capillary bleeding: oozing, dark red blood, occurs in superficial wounds like abrasions, easily controlled due to low pressure
    • Bleeding can be classified by time
      • Primary haemorrhage: occurs at the time of injury or disease
      • Reactionary haemorrhage: occurs within 24 hours of injury or operation due to body's reaction
      • Secondary haemorrhage: occurs after 24 hours, often due to infection
    • Bleeding can be classified by situation
      • Internal bleeding: internal leakage of blood in body cavities (e.g., fracture)
      • External bleeding: external leakage of blood onto the surface of the skin (e.g., wound)

    Internal Bleeding

    • Internal bleeding may not have external signs of blood loss
    • It can lead to shock due to blood loss and resultant pressure on organs like lungs and brain
    • Signs include weak pulse, cold clammy skin, thirst, rapid breathing, confusion, and possible collapse/unconsciousness

    External Bleeding

    • External bleeding is visible on the surface of the skin
    • Signs/symptoms include pale, cold, clammy skin, rapid weak pulse, thirst, rapid/shallow breathing, and confusion
    • First aid includes laying casualty on their back with legs raised, reassuring them, monitoring vital signs, and securing the wound/bleeding with pressure

    Special Types of Bleeding

    • Epistaxis (nosebleed)

      • Causes: injury, infection, foreign objects, high altitude, heredity, etc
      • Symptoms: bleeding from one or both nostrils, sensation of liquid in throat, urge to swallow
      • First aid: reassuring the patient, having them sit up and lean forward, pinching the soft part of the nose
    • Bleeding from a tooth socket

      • Causes: falls, collision, or direct blow to the face
      • Symptoms: bleeding from the mouth, pain, swelling
      • First aid: reassurance, placing gently, ice on affected area, and seeking aid promptly
    • Hemoptysis (coughing up blood)

      • Causes: lung injury, infection, foreign body
      • Symptoms: coughing up blood, often frothy
      • First aid: reassurance, sitting position, ice, and medical aid
    • Hematemesis (vomiting blood)

      • Causes: peptic ulcers, swallowing of coughed blood, fractured skull
      • Symptoms: vomiting blood (usually dark in colour), pale, cold appearance, faint
      • First aid: reassurance, sitting or lying with head slightly forward, ice packs, transportation to hospital
    • Melena (black stool)

      • Causes: bleeding in the lower intestines
      • Symptoms: black stool, foul odour
      • First aid: medical aid
    • Uterine bleeding

      • Occurs when bleeding from the uterus, excluding menstruation
      • Causes: threatened abortion, miscarriage
      • First aid: putting patient in bed, elevating the feet, reassure, pads on vulva, and seek immediate medical attention
    • Hematuria (blood in urine)

      • Causes: injury or disease in the urinary tract
      • Symptoms: bright red urine
      • First aid: reassurance, keep calm and quiet, check vital signs, and seek hospital aid
    • Rectal bleeding

      • Bleeding from the rectum
      • Causes: hemorrhoids, rectal fissure, direct pressure, bowel injury
      • Symptoms: blood streaked feces, bleeding through rectum
      • First aid: keep casualty still & quiet, apply ice, offer reassurance, and arrange hospital transport
    • Bleeding from a varicose vein

      • Causes: pregnancy, obesity, occupations involving standing for prolonged periods, and hereditary factors
      • Symptoms: pain, varicose veins
      • First aid: place patient in bed, elevate lower limbs, and reassure

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    Description

    Test your knowledge on haemorrhage, the types of bleeding, and their classifications. This quiz explores the causes, characteristics of blood vessel injuries, and reactions to bleeding. Understand arterial, venous, and capillary bleeding along with their time classifications.

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