How can you know when to suspect internal bleeding?

If a rescuer suspects the casualty has internal bleeding or injuries, the rescuer should call 911 / EMS immediately! Do not wait! Severe bleeding can cause the casualty to go into shock and is a life-threatening emergency.

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Signs & Symptoms of Major Internal Bleeding

  • Discoloration or bruising of the skin
  • Area appears tender, swollen and/or hard
  • Rapid breathing, rapid pulse
  • Skin that feels cool, clammy and moist
  • Nausea and vomiting
  • Excessive thirst
  • Declining level of conscious

Learn more: Assess, Alert & Attend, Stop the Bleed, First Aid for Shock