Title: Lesson 12-2 Bleeding
Course: EMS 1119 Emergency Medical Technician > Section: Module XII Trauma

Demonstrate an understanding and the skills required for the management of a patient with traumatic bleeding

At the end of this lesson and the associated lab activities students will be able to:

Cognitive Learning Objectives

- 12-2.1 Review the anatomy & physiology of the circulatory system
- 12-2.2 Differentiate between:
  - a. Internal and external bleeding
  - b. Arterial, venous and capillary bleeding
  - 12-2.5 Explain and demonstrate emergency medical care of the patient with external & internal bleeding
  - 12-2.6 List signs and symptoms of shock (hypo-perfusion)

Affective Objectives

- 12-2.1 Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion)

Psychomotor Objectives

- 12-2.1 Demonstrate direct pressure as a method of emergency medical care of external bleeding
- 12-2.2 Demonstrate the use of tourniquets as a method of emergency medical care of external bleeding
- 12-2.3 Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding

Online Video

Your instructor will recommend which videos to view for this lesson. All videos are valuable resources. Students may wish to view more to enhance their learning.

- 21 Steps of Circulation (4:19)
https://www.youtube.com/watch?v=jSjdbmZ1hN8
- iTClamp
https://www.youtube.com/watch?v=nypqY9vDL1g
Source: Innovation Zone EMS1.com
Comments: The iTClamp™ Hemorrhage Control System, iTraumaCare’s™ first product, is a temporary wound closure device to control severe bleeding within seconds of application to a traumatic injury. The iTClamp seals the edges of a wound closed to create a temporary pool of blood under pressure, which forms a stable clot that mitigates further blood loss until the wound can be surgically repaired.
- iTClamp (9:23)
http://vimeo.com/72399270
Comments: Animal lab demonstration of iTClamp.
- Self Application of iTClamp
https://www.youtube.com/watch?v=cH32ODgiWP0

Supplemental Reading

- Point of Care Hemorrahge Control
http://www.jems.com/article/patient-care/point-care-hemorrhage-control
- Training & Speed Are Critical
http://www.jems.com/article/patient-care/training-speed-are-crucial

Psychomotor Skill Reading

- Point of Care Hemorrhage Control
http://www.jems.com/article/patient-care/point-care-hemorrhage-control
- Training and Speed Are Crucial
http://www.jems.com/article/patient-care/training-speed-are-crucial
- E213 Bleeding Control Shock Management.pdf