Alright, now let’s talk about capillary in
the workplace. What you’ve got here is a classic road rash type of wound, or rug burn, or they
fall and hit the floor. This happened to be on a sander, but the injury is exactly the
same. It’s characteristically going to have this kind of blood droplet that comes out
of the capillaries, and is mixed with a cirrus fluid. What is that? Cirrus fluid is the same
fluid that fills the blister of a burn, or if, you know, if you’ve ever gotten a rug
– a rug burn, it’s the kind that oozes that, it’s not blood, it’s more like a yellowish
kind of, um, liquid. That’s the bodies attempt to heal the wound, and it mixes now with the
capillary and bleeding. And so, uh, you can have this kind of bleeding issue, but it stopped
quite easily. The thing here is that we need to keep it clean. If they fell on dirty surfaces.
We might have sand, dirt, rocks, metal shavings, wood shavings to clean out. If this is embedded,
that’s a Med center call. Now they need to get in there and actually numb it, because
it’s very painful, it’s not deep enough to actually damage most of the nerve endings
and so, road rash actually hurts worse than most other bleeding types. And it’s because
it’s just a braze through that epidermal layer, and the nerve endings are raw, and they’re
just over-stimulated. So, we need to be aware of that while we’re treating, um, that kind
of road rash, that kind of capillary wound. But, the major thing to do is wash it with
soap and water. Get most of the debris out. Now, we’re going to cover it with a bandage.
Again, direct pressure for a little bit, it’s not going to hurt that bad. Again, it’s not
actively bleeding. So once we actually dab it off and control most of the bleeding, we’re
able to now, use an over-the-counter triple antibiotic. Apply the triple antibiotic on
to the wound after it’s clean. This is going to help us defeat any secondary infection
that this part of the raw wound may have been exposed to. We’re then going to get another
four-by-four bandage, with some tape. We’re going to cover the wound. Can you hold that
for me, sir? And then we’re going to take that some of that medical grade tape, and
we’re going to run a couple strips over the bandage to hold it in place. And as this begins
to heal, and the bleeding is controlled, give it maybe day or so. This is going to be probably
a large band aid. A large band aid can cover this and they can return to normal activities.
We encourage the patient to look for signs of infection, oozing, it’s hurting, it’s turning
red around it, and becoming puffy in sort, and actually maybe draining some puss. That
needs to be seen at the Med center or the ER. We don’t want this to get so bad that
they develop a serious infection that could actually get absorbed into the blood, cause
a blood stream infection, which we call “Septicemia”. We also don’t want to take for granted that
it could just be an infection that could’ve been prevented because we didn’t wash it wall
or put a triple antibiotic on it. After we do this, give it 48 to 72 hours, it will begin
to crust over, which is the scabbing, and that’s natural. The person should return normal
in a couple of weeks, when the scab falls off, and now it’s back to healing scar tissue.
Again, capillary bleeding is not necessarily a life threatening emergency, but the infections
that could follow from not taking car of it while it’s healing, is where we run into trouble.