WPC 1#!UN %- 0(3w@[4 m 0@ 0@EWY 0@a 0L 0J 0T7 0^ 0h 0rQ 0| 0? 0 1uU 0d 0(. 0(V U >~  AI o B 0N 0L9 B* @  >@v~~vLexmark Optra S 1250,,,,,,0x9 Z6Times New Roman RegularX($ :[;[<[=[>[?[@DABCBb*(~3|xCU2c0Quick ""0 2b0Quick 0  2 0Quick 0 > $Small Circle0 2 0Indent123  2" 0Indent20 23  2, 0Indent30 0 23  26 0Indent40 0 0 23  2@ 0Indent50 0 0 0 23  2J 0Indent60 0 0 0 0 23  2T 0Indent70 0 0 0 0 0 23  2^ 0Indent80 0 0 0 0 0 0 23   ?AGMSYaioIndent0I.A.1.a.(1)(a)i)a)P 8Mac DefaultMac Default ` X("$("$<  9p`(&Times New Roman 1 2 3 4 5$C << GWPC'HHO='AO='A  *  !5!.&(2 4,4~Q?%? d>$"Small Circle"0  >b$Large Circle0 &0 d d& !#  )  C%+4$ ` \! `!C ` 'Q Page    www.mfri.org !#  '   ` !Q InstructorGuideQ InstructorNotes 4 !  '  PtPtHH(FG(HH(d'E r@Styl{WP}01  HH  2$HH  Geneva  <Px443!#4$*$$*$ KK  Geneva  Geneva .,6 Geneva   D2:De Geneva  D2:De Geneva ! . #  ,      X #  EMTBBleedingControlDrill#X  InstructorGuide   SessionReference: 1 Topic: BleedingandBloodLoss LevelofInstruction: 3 TimeRequired: 3hours Materials: ` X X0 0   Chalkboard  0 0   Cardiovascularsystemhandouts  0 0   Cardiovascularsystemvisuals  0 0   B/Pcuffandstethoscope  0 0   Assortedsteriledressings  0 0   Assortedbandagematerials   ` XӀ References: ` X X0 0   EmergencyCare,8thEdition,Brady  0 0   ParamedicEmergencyCare,3rdEdition,Brady  0 0   EmergencyCareandTransportationoftheSickandInjured,7thEdition,JonesandBartlett   ` XӀ==================================================================A* ) xdEI0xA# PREPARATION: #X Motivation: 0 Softtissueinjuriesareamongthemostcommoninjuriesencounteredinthefield.Anunderstandingoftheunderlyinganatomyandphysiology,quickrecognitionandrapid,efficienttreatmentareimportanttothesuccessfulrecoveryfromtheseinjuries. Objective(SPO):11 0 Thestudentwillbeabletoidentify,frommemoryandwithoutassistance,thecomponentsofblood,thevascularsystemandtheeffectofbloodlossonthebody. Overview: 0 ReviewoftheVascularSystemComponentsandFunctions` X X0 0   SolidandLiquidComponentsofBlood  0 0   FunctionoftheBloodSupply  0 0   VascularSystemAnatomyandPhysiology  0 0   EffectsofBloodLoss  0 0   ExternalBleeding  0 0   InternalBleeding  ` #A* ) xdE 0xA Session1Q BleedingandBloodLoss#X` X X SPO11Thestudentwillbeabletoidentify,frommemoryandwithoutassistance,thecomponentsofblood,thevascularsystemandtheeffectsofbloodlossonthebody.11Describethesolidandliquidcomponentsofblood.12Describethefunctionsofthebloodsupply.13Describethevascularsystemanatomyandphysiology.14Describetheeffectsofbloodlossonthebody.15Identifythesignsofexternalbleedinganddemonstrateitscontrol.16Identifythesignsandsymptomsofinternalbleedinganddemonstrateitstreatment.,Ha- ` X ,X I. 0 ComponentsofBlood(11) 0 A.0 SolidComponents  0 0 1.0 Redbloodcells/erythrocytes0 0 0 a.0 compriseapproximately45%ofbloodvolume   b.0 compriseapproximately99%ofallbloodsolids   c.0 givesbloodcolor   d.0 producedinbonemarrow   e.0 combineswithhemoglobintocarryoxygentothecells  2.0 Whitebloodcells/leukocytes   a.0 destroysmicroorganisms(germs)   b.0 producesantigenstohelpresistinfections   c.0 largerthanredbloodcells   d.0 combinewithplateletstomakeupapproximately1%ofbloodvolume  3.0 Platelets/thrombocytes   a.0 helpsbloodcoagulateorclot   b.0 smallerthatredbloodcells B.0 LiquidComponents  1.0 Plasma   a.0 watery,saltyfluid   b.0 92%iswater   c.0 67%isprotein   d.0 remaining12%    1)0 electrolytes    2)0 lipids    3)0 enzymes    4)0 clottingfactors    5)0 glucose   e.0 compriseapproximately54%ofthebloodvolume II. 0 FunctionsofBlood  A.0 Transportationofgasses  1.0 Oxygen  2.0 Carbondioxide B.0 Nutrition C.0 Excretion D.Protection  1.0 Antibodies  2.0 Leukocytes&   E.0 Regulation  1.0 Hormones  2.0 Water  3.0 Salt  4.0 Enzymes  5.0 Chemicals  6.0 Bodytemperature'  III. 0 VascularSystem(13)  A.0 Components  1.0 Arteries   a.0 carryoxygenatedbloodawayfromtheheart    1)0 exceptionispulmonaryartery   b.0 highpressure   c.0 thick,muscularwalls   d.0 dilate/constrictdependingonneedforoxygenornutrients   e.0 majorarteries    1)0 aorta    2)0 pulmonary    3)0 carotid    4)0 femoral    5)0 posteriortibial    6)0 dorsalispedis    7)0 brachial    8)0 radial    9)0 ulnar    2.0 Arterioles   a.0 smallestbranchesconnectingthearteriestothecapillaries  3.0 Capillaries   a.0 smallestdivisionofthevascularsystem   b.0 allcellularexchangesoccuratthislevel    1)0 oxygen/carbondioxide    2)0 nutrients/wasteproducts  4.0 Venules   a.0 smallestbranchesconnectingthecapillariestotheveins  5.0 Veins   a.0 carryoxygendepletedbloodbacktotheheart    1)0 exceptionispulmonaryvein   b.0 muchlowerpressurethanarteries   c.0 containonewayvalvestopreventbackflow&     d.0 majorveins    1)0 superiorvenacava    2)0 inferiorvenacava    3)0 pulmonary0 0     4)0 jugular'   B.0 VascularStructures  1.0 Tunicaintima   a.0 interiorlayer   b.0 smoothtoprovideeasybloodflow  2.0 Tunicamedia   a.0 middle,muscularlayer   b.0 controlsthevesselsize  3.0 Tunicaadventitia   a.0 outer,fibrouslayer   b.0 maintainsmaximumvesselsize  4.0 Lumen   a.0 interioropeningordiameter IV. 0 EffectsofBloodLoss(14)  A.0 Physiologicalresponses  1.0 Lossofbloodvolume   a.0 bodygenerallywillnottolerateacutelossof20%ofvolume  2.0 Lossofbloodsolids  3.0 Decreasedoxygenleveltothecells  4.Decreasedwasteelimination  5.0 Changesinvitalsigns   a.0 increasingheartrate   b.0 decreasingbloodpressure V. 0 ExternalBleeding(15)  A.0 Types  1.0 Arterial   a.0 brightredincolor   b.0 spurting  2.0 Venous   a.0 darkmaroonorblueincolor   b.0 steadyflow &   3.0 Capillary   a.0 oozing'   B.0 ControlofExternalBleeding  1.0 Directpressure  2.0 Pressuredressing  3.0 Elevationifnootherinjuries  4.0 Reinforcepressuredressingifnotcontrolled  5.0 Pressurepoint   a.0 brachialartery   b.0 femoralartery  6.0 Tourniquetlastresort VI. 0 InternalBleeding(16)  A.0 Causes  1.0 Blunttrauma   a.0 falls   b.0 motorvehicleaccidents   c.0 autopedestriancollisions   d.blastinjuries  2.0 Penetratingtrauma   a.0 gunshotwounds   b.0 stabwounds   c.0 impaledobjects  3.0 Medicalhistory   a.0 ulcers B.0 SignsofInternalBleeding  1.0 Surfaceinjuriesmayindicateunderlyinginjuries  2.0 Bruising,swellingorpainovervitalorgans  3.0 Painful,swollenordeformedextremities  4.0 Bleedingfrombodyorifices  5.0 Tender,rigidordistendedabdomen  6.0 Vomiting   a.0 coffeegrounds   b.0 brightred  7.0 Dark,tarrystoolsorbrightredbloodinstool  8.0 Signsandsymptomsofshock   a.0 alteredmentalstatus   b.0 pale,cool,clammyskin   c.0 nauseaandvomiting   d.0 vitalsignchanges    1)0 increasedpulse    2)0 increasedrespiration    3)0 decreasedbloodpressure  9.0 Thirst  10.0 Dilatedpupils  11.0 Cyanosis C.0 TreatmentofInternalBleeding  1.0 Maintainairway,breathingandcirculation  2.0 Highconcentrationoxygen  3.0 Patientpositioning   a.0 supinewithlegselevated812inchesifnoseriousinjuries  4.0 PASG  5.0 Splintfracturesduringtransport  6.0 Maintainbodytemperature  7.0 Transportimmediately#A* ) xdEg+0xA.` X X SUMMARY:#X A' )lxdElxA Review: 0 ReviewoftheVascularSystemComponentsandFunctions0 0   SolidandLiquidComponentsofBlood  0 0   FunctionoftheBloodSupply  0 0   VascularSystemAnatomyandPhysiology  0 0   EffectsofBloodLoss  0 0   ExternalBleeding  0 0   InternalBleeding    Remotivation: Assignment :A' ) xd9EmxA==================================================================# EVALUATION :#X̀