rniquet stops most of the circulation below it as well
as in the cut artery, and must not be left in place too long for fear of
injury to the rest of the limb by cutting off the circulation. _Usually
it should not be left on for more than an hour._
_Bleeding from Veins_--Bleeding from the veins is not so dangerous as
from an artery. The blood from the heart has to go through the little
capillaries before it gets into the veins, and therefore the force of
the heart muscle on the blood in the veins is not so great as in the
arteries. The blood does not spurt out, but flows out as it would from a
bottle tipped on its side.
You have already learned what to do to stop the bleeding from the
smaller veins, and that it is not serious. From the larger veins,
however, it can be very serious, and it may be necessary for you to put
on a tourniquet before the doctor arrives in order to save the patient's
life.
Almost always bleeding from a vein can be controlled by clean gauze or
handkerchief pad and pressure by hand directly over the bleeding wound.
Tourniquets are almost never needed in bleeding from a vein. If
necessary, it is wisest to apply them in the same way as for arterial
hemorrhage and stop the circulation in the whole limb.
It is important to know in a general way where the blood vessels are in
order to put the pad over them to stop the bleeding. Roughly speaking,
the artery of the arm runs down about in a line with the inner seam of
the coat. The large vein lies close beside it, carrying the blood back
to the heart. The artery and vein of the leg run about in a line with
the inside seam of a man's trousers.
_Stimulants_--In serious bleeding of any kind do not give stimulants
until the bleeding has been stopped, as the stimulants increase the
force of the heart and so increase the flow of blood. After the
tourniquet is on and bleeding is stopped, if the patient is very weak,
he may have a teaspoonful of aromatic spirits of ammonia in half a glass
of water.
(a) SHOCKS; (b) APOPLEXY; (c) CONVULSIONS
(a) _Shocks_--In any injury, except the slight ones, the ends of the
nerves in the skin are bruised or jarred. They send this jar along the
nerves to the very delicate brain. The blood is drawn from the brain
into the larger blood vessels, and the result produced is called shock.
If you have jammed your finger in a door sometime, perhaps you have felt
a queer sick feeling and had to sit down. A cold sweat broke
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