Types of Haemorrhage based on the Source
§ Arterial Haemorrhage - Bright Red, Spurting / Pulsatile in nature
§ Venous Haemorrhage - Dark red, Continuous in nature
§ Capillary Haemorrhage- Bright Red, Continuous in nature
Types of Haemorrhage based on Time of onset
§ Primary Haemorrhage
§ Reactionary Haemorrhage
§ Secondary Haemorrhage
Primary Haemorrhage
Haemorrhage occurring at the time of Injury/Trauma/Surgery
Reactionary Haemorrhage
Haemorrhage occurring within first 24 hrs following Trauma/Surgery
The causes Reactionary Haemorrhage
1) Slipping away of Ligatures
2) Dislodgement of Clots
3) Cessation of Reflex vaso spasm
4) Normalization of Blood Pressure
Secondary Haemorrhage
Haemorrhage occurring after 7 -14 days after Trauma/Surgery.
The attributed cause is infection and sloughing away of the blood vessels
How to control Haemorrhage ( 5 Ps)
§ Position-Any bleeding from the limb can be controlled to a certain extent by elevating the limb above the level of heart.
§ Pressure-Applying firm pressure directly over the area we can control bleeding. In case of complete cut injury of a hand/ foot direct pressure over the brachial artery at the cubital fossa or the femoral artery at the mid inguinal point results in the arrest of bleeding.
§ Packing- Epistaxis due to a local cause can be controlled by sterile nasal packing.
§ Procedure- Applying sutures/ stapler clips over the bleeding vessels one can control bleeding.
§ Patience- The confidence of the doctor in handling a situation is all the more important. If he can take control of the situation everything will be under control and if he becomes panic , everything will be upside down.
Query- What if a bleeding occurs after 24hrs and before 7 days?
Answer:- In the Medical Literature it is mentioned that bleeding during this period is very unlikely. This is true in my experience also .
(Thanks for the query.)
Query- What if a bleeding occurs after 24hrs and before 7 days?
Answer:- In the Medical Literature it is mentioned that bleeding during this period is very unlikely. This is true in my experience also .
(Thanks for the query.)
so when there is bleeding after 24hrs and before 7 days, how are you gonna call it? it does not fit in any of your definitions
ReplyDeletePrimary hemorrhage- during operation
DeleteReactionary hemorrhage- 24 hrs after operation
Secondary hemorrhage- after 24 hrs till wounds heals (taking 10-14 days)
This is awesome. Thanks for the query answer as well!
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