What signs point to internal bleeding after trauma, and how should you respond?

What signs point to internal bleeding after trauma, and how should you respond?

• A. Headache; nothing.
• B. Sunburn; hydrate.
• C. Abdominal distension or tenderness, signs of shock, rapid pulse, cool skin; apply gentle compression if external bleeding, avoid unnecessary movement, high-flow oxygen, rapid transport.
• D. Fractured limb; immobilize.

Answer: (C)

When trauma leads to internal bleeding, the body often shows signs of poor circulation and abdominal distress. Look for abdominal distension or tenderness, which can mean blood is collecting inside the abdomen, and signs of shock such as a rapid pulse and cool, clammy skin. These clues tell you that bleeding is affecting the body's ability to perfuse tissues, which requires swift action. The best response is to stabilize with supportive, rapid transport. If there is external bleeding, apply gentle pressure to control it. Avoid unnecessary movement or probing the abdomen to prevent worsening injury. Keep the patient lying flat and warm, provide high-flow oxygen if available, and arrange rapid transport to a hospital for definitive care. Monitor the patient closely for any changes in consciousness or breathing. Those other options don’t fit because they describe signs or actions unrelated to internal bleeding or the urgent, transport-focused approach needed here.

When trauma leads to internal bleeding, the body often shows signs of poor circulation and abdominal distress. Look for abdominal distension or tenderness, which can mean blood is collecting inside the abdomen, and signs of shock such as a rapid pulse and cool, clammy skin. These clues tell you that bleeding is affecting the body's ability to perfuse tissues, which requires swift action.

The best response is to stabilize with supportive, rapid transport. If there is external bleeding, apply gentle pressure to control it. Avoid unnecessary movement or probing the abdomen to prevent worsening injury. Keep the patient lying flat and warm, provide high-flow oxygen if available, and arrange rapid transport to a hospital for definitive care. Monitor the patient closely for any changes in consciousness or breathing.

Those other options don’t fit because they describe signs or actions unrelated to internal bleeding or the urgent, transport-focused approach needed here.