Question

You are a new assistant in a medical practice, and a patient arrives bleeding, looking pale, and in pain. As a professional, what would be your perception of the need for care of this patient? What would be your first action? Now reflect on what you decided, and explain why you made that decision.

Answer 1

Answer :

Bleeding is the release of blood from broken blood vessels, either inside or out side the body. In this scenerio this bleeding might be external bleeding. This bleeding may be due to trauma or any other accidents, because on examination patient is having pain and pale with bleeding. Pale indicate severe loss of blood from body.

• Applied direct pressure with sterile cotton pad on the bleeding area, clean the wound and dressed up it as soon as possible with adequate pressure.
• Raise the injured area. should elevated the bleading area with supportive meassures such as pillows.
• Keep the patient at total rest. In between the vital signs should maintained including urine output.
• If blood loss is severe blood transfusion should be done. Because loss of blood can cause reduced perfusion to the tissues which may leads to ischemia and organ death. This can treat also paleness.
• Make arrangement for blood investigations including CBC, LFT, KFT ect,.
• Immediate management for pain can administer pain killer injections.
• Blood pressure is low, administer inj. noradrenaline.
• find out the causes of bleeding and appropriate management should be done like surgical and conservative management.

The first action is :

• control bleeding. If the bleeding is continued patient may go for organ death due to the inadequate blood supply to the organ.