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Bleeding Control: Capillary Bleeding


In bleeding control, we’ve got three different types of bleeding we want to cover. The first is capillary bleeding, and in capillary bleeding, we mean just the very superficial abrasions, this is going to be an oozing type of bleeding that’s easily controlled. But more importantly, and what’s really starting to become focus and maybe even overlooked sometimes, is the after treatment that goes with the capillary wounds. And that’s going to be irrigating the wound, making sure it’s clean, cutting back and preventing staph infections, strep infections, that could get crazy if we don’t nip it in the bud. Disinfect the wound, treat it appropriately, and make sure that we keep that wound healing on the right track. Now, one of the most common types of capillary is when you get a patient who falls, a bicycle accident, trips, the rug-burn abrasion road rash type of capillary wound. Now the bleeding is not really all that bad. If it’s starting to really ooze, you could potentially dab it, to try to stop whatever type of bleeding is there. But it clots pretty quickly. It’s more of cleaning that wound and then finishing it off with a triple antibiotic or an aseptic ointment or liquid, or something that’s going to stop the infection in its’ tracks. As you see here, I’m using a hydrogen peroxide 3% topical solution. I’m being careful not to get it on the person’s clothing, it can bleach the clothing out. This is a very superficial wound. Letting that wound bubble up, you’re going to see it fizz a lot, it’s really just reacting with the blood, and it’s causing a reaction. But it’s also nice because that effervescence that happens starts to work the grime out of those cuts and abrasions, and helps to really clean into that wound, getting the debris out of there, killing some of the different bugs that could have gotten in there from the ground. There’s a lot of microorganisms in the soil. And just taking your time and cleaning that wound up really good, making sure you’re getting all the dirt out of there. It can sting a little bit, just let the patient know that you might get a little stinging, but we gotta clean that wound up as best we can. And then we’ll move to the finishing product of bandaging it up. Okay the last phase of cleaning this up, is applying the triple-antibiotic aseptic ointment, and the finishing bandage. Now if you’re really angry at the patient and want to cause some burning, you could use something like iodine or alcohol, to really finish that cleaning aseptic technique. But better yet, they’ve got a lot of triple-antibiotic ointments now that don’t sting. Some of them actually have lidocaine in with them, and it’s really nice because it helps to take away the pain of the wound, but also keeps the antibiotic on that surface and helps prevent infections. So after you’ve applied your triple-antibiotic ointment, probably to the bandage would be more wize than onto the wound directly. Because if there’s any bugs on the wound, you get it in the bottle or on the ointment. And then you simply stick the bandage on wound, being careful not to put any of the adhesive on where the wound is at. Voilà, you’ve basically got your wound back in shape and ready to back to play or work, or whatever you may have for the rest of your day.

4 thoughts on “Bleeding Control: Capillary Bleeding

  1. Reading up on first aid, and even taking courses is great and all, but the problem with these thigns is that the best way to learn is to see it for yourself. thanks for your time and knowledge.

  2. I notice that you use hydrogen peroxide for wound irrigation.  It is thought by many (links below) that hydrogen peroxide harms the skin and delays healing.  My first aid manuals from both the American Red Cross (2010) and the American Safety & Health Institute (2007) recommend irrigating wounds with water.  Can you comment on the appropriateness of hydrogen peroxide versus ordinary tap water?

    http://www.nytimes.com/2007/06/19/health/19real.html?_r=0
    http://www.consumerreports.org/cro/2012/04/best-treatment-for-cuts-is-not-hydrogen-peroxide/index.htm
    http://www.mayoclinic.org/first-aid/first-aid-cuts/basics/art-20056711
    http://www.webmd.com/a-to-z-guides/wound-care-10/slideshow-wound-care-dos-and-donts
    http://en.wikipedia.org/wiki/Hydrogen_peroxide#Disinfectant
    http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0049215

  3. The first wound you dont need any tripple antibiotica, just clean the wound and let it breed, or if you really want put a bandage on it do it. Only use antibiotica if you really need to, like rusty spikes, animal/human bites and so on. Most common wounds are best left alone (after cleaning it).

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