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Welcome to this edition of The First Aid Show. In this edition, we are just going to have a look at severe blood loss, so we are looking at something which could cause an excessive amount of blood to be lost from the body. Excessive blood loss does not just happen when the skin's broken. A bone can be fractured, and the blood can be lost inside the body. For example, if a thigh bone is broken and the skin is not broken, you can lose half to 1 litre of blood. If the skin is broken and there is a bleed, this can be increased to 1 to 2 litres. Fractures in the pelvis can cause from minor blood loss, of about half a litre, to major injuries, where you can lose all of the blood. The main femoral artery runs over the pelvis, which is a major artery. Injury to the spleen, liver, or chest can cause very minimal blood loss to total blood loss. The big problem is recognizing that severe blood loss is actually possible or is actually happening. It is best to assume the worst and treat as if there is a severe blood loss. It is very hard to work out how much blood has been lost with an external bleed, and even harder if it is an internal bleed. It is also difficult to assess blood loss, as different people will react in different ways, which can cover up the signs and symptoms until it gets very serious. Things can affect the way that the signs and symptoms show. Things like age, size, weight, underlying medical conditions, their fitness, and any medications they are taking. You need to get as much information as possible about the history of what has happened and the mechanism of injury. Things to look out for are pale, cold, and sweaty skin, breathing rates of over nine breaths per minute, thirst, a pulse of over a 100 beats a minute, altered mental state, anxious, confused, drowsy, restless and finally, unconsciousness. The treatment is to first activate emergency services, treat external bleeding, and try to identify if there is internal bleeding. Lay them down and elevate their legs, if possible. Finally, keep them warm and monitor their consciousness and vital signs. At ProTrainings Europe Ltd we offer over 350 video online training courses and classroom training at your workplace or at a local training centre nationwide. For more information see https://www.protrainings.uk or phone 01206 805359 or email [email protected] First Aid equipment is available from our store at https://www.first-aid-online.co.uk