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Internal Bleeding

Internal bleeding is blood loss that it not usually or easily seen.

Internal bleeding can be just as serious as external bleeding.

Although the blood is not lost from the body, it is lost from the circulatory system and vital organs will be deprived of oxygen.

Visible Internal Bleeding

If the internal bleeding is visible it may be coming from:

• The ear or mouth  
• Nose 
• Lungs 
• Stomach, bowel or intestines 
• Rectum or vagina


Signs and symptoms

  • Pale, cool and clammy 
  • Discoloration of the skin in the injured area 
  • Anxiety or restlessness 
  • Rapid breathing, rapid weak pulse 
  • Nausea or vomiting 
  • Deteriorating conscious state

Management of Internal Bleeding

There is little a first aider can do for internal bleeding other than seek medical attention. Whilst waiting for the ambulance to arrive, follow the general guidelines

  • Prevent further injury 
  • Help the casualty into the most comfortable position 
  • Maintain normal body temperature 
  • Reassure the casualty 
  • Monitor the ABC

What should you do?

We all respond to emergencies in different ways.

Whether trained or untrained, some of us are afraid we will do the wrong thing and make the situation worse.

If you are unsure about what to do, call for an ambulance.

The worst thing to do is to do nothing.