Instructions for first aid for bleeding wounds Garo wounds on hands or feet

This is an automatically translated article.

The article was written by MSc Le Thi Thanh Huong - Emergency Medicine Doctor, Emergency Department - Vinmec Central Park International General Hospital.
For wounds with heavy bleeding in the hands or feet and cannot be stopped by direct pressure, hemostasis must be performed.

1. The degree of bleeding of the wound

Bleeding wounds range from mild to severe:
Mild bleeding wounds are usually caused by small cuts or scrapes. Most of these wounds will be able to stop the bleeding with pressure alone, but first responders need to remain calm and patient, as sometimes the wound looks more serious than it really is. . >>> Instructions on first aid for bleeding wounds by applying pressure and dressing the wound
Wounds that bleed heavily when cutting through or tearing large blood vessels, can cause the victim to lose a large amount of blood in just a few minutes . >>> First aid for vascular wounds

2. Principles of wound treatment

Call for help when:
The wound is bleeding heavily Can't stop the bleeding Look at the casualty with signs of shock Suspect a head, neck or spine injury (avoid not moving the casualty) Or you are confused don't know how to handle Call support by shouting to call people around to help. If there is no one around, use the phone to call emergency, turn on the speakerphone mode to both communicate and ask the medical staff to guide you on safe first aid, and at the same time give first aid to the victim.
Must ensure a safe environment for themselves to conduct first aid. Or move the victim to a safe place before giving first aid. Get the first aid kit, or ask someone else to help you run away to get the first aid kit. Wear protective equipment (usually kept in your first aid kit) for yourself: Wear protective clothing and gloves.

3. Steps to apply pressure and bandage the wound

3.1 Using a Garage Device If the first aid kit is already equipped with a Garage Tool (Figure 1).

3.2 If you do not have a gaoing tool, you can make your own by using a cloth string or a piece of cloth folded into a rope with a width of about 2.5 cm, the length of which can be wrapped around the entire wrist or ankle position above the wound. injured and must have an extra piece to put in the shaft and a straight stick as the axis of rotation. Wrap the rope around the place where you need to place the garo and tie the two ends together. Insert the spindle rod in the center and rotate it to tighten as shown (Figure 2).

Place the garo 5cm above the wound to stop bleeding (do not place the garo right at the wound or below the wound). Rotate the rotary shaft to tighten the garo, while rotating and observing the wound until the wound stops bleeding. Fix the handwheel, if the garage is homemade, use wire or tape to fix the two ends of the spindle along the length of the arm or leg. Note the time to set the garo. Stay next to the victim, have tools and AEDs ready (if any) so that you can give first aid to the victim if the victim develops shock or cardiac arrest, until the emergency team arrives to take the victim away.

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