First Aid Internal Bleeding

Internal Bleeding

Is bleeding which occurs inside the body. Sometimes the blood will leak from inside the body through natural openings. Other times the blood stays inside the body, causing pain and shock, even though you cannot see the blood loss.


Internal bleeding can be caused numerous ways including:

  • Falls
  • Car Accidents
  • Pedestrians Struck by a Vehicle
  • Gun Shot Wounds
  • Injuries from Explosions
  • Impaled Objects
  • Stab Wounds
  • Surgery


A person may be bleeding internally if one of these things happens:

  • Blood comes out of the nose or mouth (severe head trauma)
  • Blood or clear fluid comes out of the ear (severe head trauma)
  • Blood is in the stool or urine
  • Blood is in the vomit
  • Bruising over the abdominal or chest area
  • Pain over vital organs
  • Fractured thigh bone

Person may be bleeding inside the body, even though you cannot see the bleeding. If you see the signs of shock and no apparent injuries, always suspect internal bleeding.


As with any victim, before treating, put on disposable gloves if possible and take other necessary body substance isolation precautions.

Call 911

  • If the victim has ABC complications, treat those first – CPR always has priority.
  • Check the victim’s vital signs
  • Administer CPR if necessary
  • Treat for shock
  • Assist the victim into the most comfortable position
  • Monitor ABCs and vitals until the ambulance arrives


Dislocations, like fractures, may be simple or closed, open or compound. The compound dislocation are more frequent in the small joints of the fingers, and when present in the larger joints they are more serious, as direct excessive force is required to produce them.

Complications are quite frequent and unless treated at once may cause permanent dysfunction or even loss of a limb.

Following complications may be possible.

1.       Impairment of circulation, arterial or venous. Unless relief is not secured at once, gangrene is possible and especially in arterial obstruction.

2.       Nerve injure may be due to pressure alone or there may be actual severance.

When extending first aid, one must be alert for signs of fractures, dislocations, sprains, and contusions. Injuries to the joints and muscles often occur together and all suspected fractures or dislocations require professional medical treatment. When rendering   first aid, apply splint – Do not attempt to straighten broken bones.

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