Purpose of Module:
The purpose of this module is to review the principles of how to treat injuries that involve bleeding and the prevention of and treatment of shock.

Time to complete Bleeding and Shock Module: 1 hour

Directions for using the Bleeding and Shock Module:

* You must spend at least 1/2 hour doing hands-on training.
1. Read the training Objectives
2. Review Brady Emergency Care, Eighth Edition pp. 484-504.
3. Watch the videotape "Mosby’s EMT-BASIC VIDEO SERIES, Lesson 5-1 Bleeding and Shock".
4. Use the MED EMT computer based training software and complete Chapter 14, Section 3.
5. Using skills checklist apply a dressing, pressure dressing and locate and apply pressure to pressure points on the body using an adult mannequin.
6. Take the posttest.
7. Give module back to instructor or person in charge.

Training Objectives:

1. Review the structure and function of the circulatory system.
2. Review the difference between arterial, venous, and capillary bleeding.
3. Review emergency medical care of external bleeding.
4. Review body substance isolation and bleeding.
5. Review relationship between airway management and the trauma patient.
6. Review signs of internal bleeding and emergency care of the patient with signs and symptoms of internal bleeding.
7. Review steps in the emergency care of the patient in shock.

Activities to Perform:

1. Watch the videotape "Mosby’s EMT-BASIC VIDEO SERIES, Lesson 5-1 Bleeding and Shock".
2. Use the MED EMT computer based training software and complete Chapter 14, Section 3.
3. Use the Bleeding Control/Shock Management Checklist and practice those skills on an adult mannequin. Dressings and other materiel are provided for your use.
4. Take the posttest to give yourself feedback on this module.

Posttest:

1. The inability of the body to adequately circulate blood and oxygen to the body's cells is known as:
A. perfusion. C. hypoperfusion.
B. avulsion. D. compensated shock.


2. The first step that an EMT-B should take when treating a patient with severe bleeding is to:
A. apply pressure to the wound.
B. don protective gloves.
C. check the patient's blood pressure.
D. apply a tourniquet.

3. The most difficult type of bleeding to control is:
A. arterial bleeding. C. capillary bleeding.
B. venous bleeding. D. "oozing" bleeding.

4. All of the following are signs of shock except:
A. altered mental status. C. warm, dry skin.
B. nausea and vomiting. D. vital sign changes.

5. The type of shock seen most commonly by EMT-Bs is:
A. hypovolemic shock. C. neurogenic shock.
B. cardiogenic shock. D. irreversible shock.

ANSWERS: (1) C (2) B (3) A (4) C (5) A