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Principles and Techniques of Trauma Care

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CIRCULATION: HAEMORRAGHIC<br />

SHOCK<br />

Large volumes <strong>of</strong> blood may be hidden in thoracic, abdominal<br />

<strong>and</strong> pelvic cavities, or from femoral shaft fractures.<br />

To decrease bleeding:<br />

• Apply pressure to external wounds<br />

• Apply splint to possible femur fracture<br />

• Apply pelvic binder to possible pelvic fracture<br />

If patients is pregnant, she should not be on her back, put her<br />

on her left side.<br />

Send blood for type <strong>and</strong> crossmatch<br />

28 |<br />

Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />

www.who.int/surgery

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