CPR + First Aid Certification Manual: Trauma Emergencies

First Aid: Types of Open Wounds

Types of Open Wounds

Abrasion 

Abrasions, also known as scrapes, can be superficial or deep usually involving minimal bleeding. This type of wound is usually painful, but not severe.

Avulsion

Avulsions are wounds where skin has been torn from the body during an accident or injury. This type of wound is usually painful, but rarely severe.

Laceration

Lacerations are wounds characterized by a deep cut or tearing of soft tissue. This type of wound is sometimes severe.

Puncture

Punctures are wounds characterized by a deep penetration of soft tissue. This type of wound is frequently severe.

First Aid: Minor Bleeding

Bleeding - Minor External

Minor bleeding is usually capillary bleeding. This type of bleeding can usually be controlled by applying pressure to the wound site. 

Common Symptoms:  Small amount of blood, Trickling blood, Surface level bleeding

First Aid Steps:

1. Ensure scene safety

2. Dial 911 if needed

3. Get PPE and first aid kit

4. Apply direct pressure until bleeding is controlled

5. Clean the wound with water and an antiseptic wipe

6.  Place antibiotic salve on the wound

7.  Elevate and apply an ice pack (place gauze or bandage on it first if the wound is open)

Special Note:  If the bleeding is from the nose (Epistaxis):  pinch the nose, tilt the head forward and apply an ice pack to the bridge of the nose.

First Aid: Significant Bleeding

Bleeding - Significant External

Significant external bleeding is usually venous or arterial bleeding. Though arterial bleeding is more dangerous, anytime the bleeding results from damaged blood vessels, the bleeding might require more than direct pressure to control.

Common Symptoms:  Large amount of blood, Spurting blood, Bleeding that is not easily controlled

First Aid Steps:

1. Ensure scene safety

2. Dial 911

3. Get PPE and first aid kit

4. Apply direct pressure

5. Consider using a tourniquet

6. If a tourniquet is used, place it approximately 2 inches above the wound site, avoiding joints

7. Tighten the tourniquet until the bleeding has stopped

8. Note the time the tourniquet was placed

9. Perform CPR if necessary