Venous Bleeding

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So now lets talk about venous bleeding. Venous
bleeding is normally characterized by dark

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red oozing blood not bright red spurting blood
like arterial. In this case, most of the time,

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venous bleeding stops on its own in 4 to 6
minutes if you did nothing. But we can easily

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control it with direct pressure and then a
bandage and then decide whether or not the

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person should go in by ambulance or whether
they are stable enough that they can actually

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go in by private automobile or someone driving
them in. I always encourage driving them in

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even if you do take them in by another coworker
or someone else by their own vehicle. Because

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if they , maybe have a hard time seeing their
own blood. Maybe they, you know, for whatever

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reasons they have kind of a psychogenic shock
thing going on, not a true hypovolemic shock.

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Then its always good to have a passenger plus
it might hurt, you just never know. So, its

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always a good idea to have someone drive them
in or have an ambulance bring them in. He

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obviously lacerated the tip of his finger,
he was holding direct pressure on it with

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just his thumb. But it smiles on me. In other
words, i can look at the cut and when he opened

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up his finger it kind of did this fish mouth
opening. That means it is a full thickness

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cut and its probably gonna need some stitches.
If it did'nt, if it stayed together when he

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showed me and it was just kind off oozing,
that might be okay to bandage and heal on

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its own after its cleaned. And we use a triple
antibiotic ointment to be sure to combat the

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possible bacteria. There's also the concept
that if today's person had not had a tetanus

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shot in a while its important that they find
out what their records are and if they need

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a booster they might get that because the
material was dirty. And so, i'm just gonna

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give this 4/4. I see that the wound is right
there. I apply direct pressure over the finger

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tip. There's blood because he's been holding
it for a while and a little bit of blood goes

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a long long way. So what looks like a massive
amount of blood might just be that the red

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blood cells might have smeared around, dripped.
And don't be distracted by that. But you might

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take an another language and dry that off.
Ask the patient did you have pain anywhere

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else or cut anywhere else. He says no. Its
just right here. Its just been, i've been

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holding it, its been running into my hand.
So i put that direct pressure on there. I

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wait to see if it leaks through. Most heinous
bleeding will stop with direct pressure unless

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he has a bleeding disorder or is on blood
thinners of some sort for another condition.

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In this case, he says he's not on any other
medication. He's not taking any, over any,

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you know, behind the counter pills. He's pretty
much a healthy guy so i'm not too worried

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about it. He's stable, he's pink, he's warm,
he's dry. He had no loss of consciousness,

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there is no other life threatening conditions.
I don't believe i have to call EMS at this

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point unless we want an ambulance to transport
him. At this point though, its not leaking

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through. So i'm now gonna wrap it with tape.
What we are doing is we're basically making

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our own band aid. Its kind of a hefty band
aid at that. But its still a band aid. Its

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just there to control the bleeding a little
bit and cover the wound so it doesn't get

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any dirt or debris in it while we either transport
this individual to the med center for stitches

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or getting it cleaned out, get his tetanus
booster. Or until we decide what our next

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step treatment is to be. Again, bleeding is
under control, patient is stable, probably

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not a 911 call. We can decide to take them
in with an another co worker safely or whatever

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the protocol is for the work place.