By what means may hemorrhage be controlled?
Hemorrhage
Q. By what means may hemorrhage be controlled?
A. The principal
means to be employed
for arresting hemorrhage are pressure, ice
or cold water, hot water, and the ligature. The
means to be employed differ somewhat
according to the part in which the
hemorrhage occurs. As a general rule, the bleeding part should
be elevated, and pressure applied at the point of injury. Very hot or
very cold applications should be made. Pressure acts by closing the blood
vessels and allowing the blood to coagulate. Cold at first causes the blood
vessels to contract; but if applied continuously for a long time, the blood
vessels are paralyzed and become relaxed. In using the ligature, apply it
either above or below the injury if it occurs in a limb, according, as the
bleeding comes from an artery or a vein. If an artery is wounded, the blood
will flow in jets; if a vein is injured, the blood will be dark in color and
will flow in a steady stream. If the vessel is an artery,
the ligature or pressure should be applied between the wound and the heart; if
a vein, it should be applied on the opposite side. A slight hemorrhage from a
wound may generally be very easily controlled by pressure upon the injured part
with the fingers or a compress of folded muslin.
Bleeding from the nose may
generally be checked by holding the head erect, snuffing cold water up the
nostrils and holding the arms as high as possible.
Hemorrhage from the stomach, indicated by vomiting of
blood, requires perfect rest, the application of ice over
the stomach, and swallowing small bits of ice in rapid succession. Hemorrhage
from the lungs requires heat at the extremities; restraint from coughing; the application
of cold to the chest, ice pills, and the inhalation of an atomized solution of
tannin, or the vapor of turpentine.
Hemorrhage from the bowels generally results from
hemorrhoids. Cold water should be injected into the rectum, and the patient
should be kept quiet in a horizontal position.
Bleeding from a rupture of varicose veins in the lower
limbs is sometimes very severe. It may be relieved by a tight ligature both
above and below the point of rupture.