Aug 27, 2024

Common Methods Of Stopping Bleeding

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There are many ways to stop bleeding, but we must understand their advantages and disadvantages and use them flexibly to effectively stop bleeding and prevent complications, creating opportunities for further treatment after going to the hospital.
1. Pressure bandage hemostasis
Most bleeding can be stopped by pressure hemostasis. When operating, first use a sterilized gauze pad or a clean towel, cloth, hat, etc. to fold it into a pad slightly larger than the wound, put it on the wound, and then use a triangular bandage or bandage or a substitute that can be found to apply pressure bandage. The pressure of the bandage should be appropriate, so that it can stop bleeding without affecting the distal blood flow (the arterial pulsation can be felt at the distal end and the color is normal). This method is suitable for bleeding from small arteries, veins and capillaries. This method cannot be used when there are broken bones in the wound. When bandaging, it is strictly forbidden to sprinkle the so-called hemostatic Chinese herbal medicine, soil or other powder on the wound to avoid aggravating the contamination of the wound and causing difficulties for subsequent debridement.
2. Finger pressure hemostasis
It is used for more acute arterial bleeding at the first aid site and there is a temporary lack of bandage materials or tourniquets on hand. During the operation, place your finger on the pressure point of the artery above the wound, and then press the artery against the bone with force to stop the bleeding by interrupting the blood flow. This method is quick and effective, but its disadvantage is that it is not suitable for long-term use. After the bleeding stops, you need to immediately switch to other methods of hemostasis. You can remember some commonly used hemostasis points:
(1) Bleeding from the lower face and one side of the mouth can be stopped by pressing the temporal artery or the external maxillary artery. When pressing the temporal artery, press the thumb and index finger against the mandibular joint slightly above the tragus; when pressing the external maxillary artery, press the thumb or index finger about half an inch in front of the mandibular angle to press the external maxillary artery against the mandible;
(2) Extensive bleeding from the head, neck, and oropharynx can be stopped by pressing the common carotid artery. Place the thumb or the other four fingers in the groove between the outside of the trachea and the front edge of the sternocleidomastoid muscle on the injured side, and press the common carotid artery to the back of the neck to stop the bleeding after feeling the pulsation. Note that this method is only used for emergency hemostasis, and both sides should not be pressed at the same time to avoid cardiac arrest;
(3) Bleeding from the shoulder, axilla and upper limbs is mainly caused by compression of the subclavian artery. When operating, first use the thumb to feel the arterial pulse in the clavicle concave area, place the other four fingers behind the neck of the injured person, press the thumb down on the concave area, and press the artery toward the first rib to stop bleeding;
(4) Bleeding from the lower end of the upper arm, forearm and hand can be stopped by pressing the brachial artery. After the biceps brachii touches the arterial pulse, press the artery hard against the humeral shaft;
(5) Bleeding from the lower limbs is slightly below the midpoint of the groin. After feeling the arterial pulse, press it hard toward the femur.

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