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EMT Chapter 22
Bleeding
34
Medical
Professional
11/20/2008

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Term
The 3 parts of the cardiovascular system:
Definition
 -The pump (heart)
 -A container (the blood vessels that reach every cell in the body)
-The fluid (blood and body fluids)
Term
Special features of the heart
Definition
-cannot tolerate a disruption of its blood supply for more than a few seconds.
-works as two paired pumps.
Term
The 5 types of blood vessels:
Definition
-Arteries
-Arterioles
-Capillaries
-Venules
-Veins
Term
Aorta
Definition
The largest artery in the body
Term
Arterioles
Definition
The smaller vessels that connect arteries and capillaries
Term
Conditions in which muscles dilate and constrict:
Definition
-fright, heat, cold, a specific need for oxygen.

-in a healthy individual, all vessels are never fully dilated or fully constricted.

Term
the final step in the formation of a blood clot
Definition
fibrinogen reinforces the red blood cells.
Term
During emergencies, this system automatically redirects blood away from other organs to the heart, brain, lungs, and kidneys
Definition
The autonomic nervous system
Term
The cause of hypoperfusion (shock) in a trauma patient
Definition
severe bleeding (internal or external)
Term
Perfusion
Definition
 the circulation of blood within an organ or tissue in adequate amounts to meet the cells current needs for oxygen, nutrients, and waste removal.
Term
Without perfusion, how long before the brain and spinal cord are injured?
Definition
4-6 minutes
Term
With inadequate perfusion, how long before the skeletal muscle system is damaged?
Definition
about 2 hours
Term
Hemorrhage
Definition
bleeding
Term
Hypovolemic Shock
Definition
a condition in which low blood volume results in inadequate perfusion and even death. The body simply cannot compensate for rapid blood loss.
Term
Signs and symptoms of hypovolemic shock
Definition
-Rapid, weak pulse
-low blood pressure (late sign)
-changes in mental status
-cool, clammy skin
-cyanosis (lips, oral membranes, nail beds)
Term
the maximum percentage of blood loss volume that the human body will tolerate
Definition
20%
Term
How much blood will the average adult lose before significant changes in vital signs begin to occur increasing heart and respiratory rates and decreasing blood pressure)?
Definition
1L (about 2 pints)
Term
Coagulation
Definition
the formation of clots to plug openings in injured blood vessels and stop blood flow
Term
What commonly triggers blood clotting?
Definition
Direct contact with body tissues and fluids or the external environment.
Term
medications that interferes with normal clotting?
Definition
Aspirin, coumadin (blood thinner)
Term
Hemophelia
Definition
 a congenital condition in which the patient lacks one or more of the bloods normal clotting factors (patients should be transported immediately).
Term
artery
Definition
a blood vessel, consisting of three layers of tissue and smooth muscle that carries blood away from the heart.
Term
Capillaries
Definition
the small blood vessels that connect arterioles to venules; various substances pass through capillary walls, into and out of the interstitial fluid, and then on to the cells.
Term
Hematoma
Definition
a mass of blood in the soft tissues beneath the skin.
Term
Epistaxis
Definition
a nosebleed
Term
pneumatic antishock garment (PASG)
Definition
an inflatable device that covers the legs and abdomen, used to splint lower extremities or pelvis or to control bleeding in the lower extremities, pelvis, or abdominal cavity.
Term
Pressure Point
Definition
 a point where a blood vessel lies near a bone, useful when direct pressure and elevation do not control bleeding.
Term
Shock
Definition
a condition in which the circulatory system fails to provide sufficient circulation so that every body part can perform its function; also called hypoperfusion.
Term
Tourniquet
Definition
the bleeding control method of last resort that occludes arterial flow; used only when all other methods have failed and the patients life is in danger.
Term
Veins
Definition
 the blood vessels that carry blood from the tissues to the heart.
Term
Do not use a PASG if any of these conditions exist
Definition
-pregnancy
-Pulmonary edema
-acute heart failure
-penetrating chest injuries
-groin injuries
-major head injuries
-a transport time of less than 30 minutes
Term
Causes of nontraumatic internal bleeding
Definition
-ulcers
-bleeding from the colon
-ruptured ectopic pregnancy, and aneurysms
Term
Signs and Symptoms of Internal Bleeding
Definition
-pain (most common)
-swelling in the area of bleeding
-distention (intra-abdominal)
-bleeding from ANY body opening
-hematemesis (blood that is vomited)
-melena (blood black poop)
-hemoptysis (blood that is coughed up)
-broken ribs, bruises or a rigid, distended abdomen.
Term
Contusion
Definition
a bruise or ecchymosis
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