Paramedic Recert EMS Care | 23-MCIT-F3-4113 | Hemorrhage Control

Hemorrhage Control | Paramedic Level CME

This chapter focuses on Hemorrhage Control , including focus on the essentials, the latest protocols and inventions. It discusses soft tissue trauma and the different techniques of Hemorrhage control

The lessons covered are

  • 1: Soft Tissue Trauma
  • 2: Hemorrhage Control
  • 3: Special Considerations


Excerpt from Hemorrhage Control

Blood loss often accompanies soft-tissue injuries and can result from damage to arteries, veins, capillaries, or a combination of these vessels. Arterial bleeding is bright red and spurting, venous bleeding appears dark red-blue and flowing, and capillary bleeding is bright red and oozing. However, differentiating between these types of vessel hemorrhage can be challenging.

In the prehospital setting, the primary focus when dealing with a patient experiencing hemorrhage, irrespective of its source, is to control the bleeding. Methods for hemorrhage control include direct pressure and the application of tourniquets. Additionally, in cases involving fractures, immobilization using splints can be beneficial in reducing bleeding.

Direct Pressure

The paramedic effectively manages external hemorrhage by initially applying direct pressure over the injury site, which usually controls most types of bleeding within 4 to 6 minutes. To sustain this control, a pressure dressing is placed over the site and secured with an elastic bandage. It’s crucial to maintain direct pressure even after the dressing is applied. Removing the dressing could disrupt the freshly formed blood clot.

If bleeding resumes and saturates the dressing, a second dressing should be applied over the first, and direct pressure should be maintained until bleeding is once again controlled. If multiple dressings prove insufficient, more aggressive or alternative hemostasis measures must be considered.

Core Concepts & Takeaways

  • Identify and treat severe hemorrhage.
  • Differentiate among indications, effects, and contraindications for the use of:
    • Tourniquets
    • Junctional Tourniquets
    • Hemostatic agents
    • Tranexamic Acid (TXA)


Important Notes:

  • If you only want to take the online course for CME credit, you can pay here.  The fee for online-only does NOT include a skills session nor (re)certification.  You will receive a certificate for one CME credit after successful completion of the course.
  • This course is part of the Paramedic Recertification  curriculum .  If you sign up for one of those courses, you will be automatically enrolled in this course. 
  • To get credit for this course, you must watch all the lessons in their entirety, the course review, and pass the quiz at the end with a score of 75% or better.

Course Curriculum

Paramedic Recert EMS Care | Paramedic Recert EMS Care | 23-MCIT-F3-4113 | Hemorrhage Control

  • Lesson 0 – Introduction
  • Lesson 1 – Soft Tissue Trauma
  • Lesson 2 – Hemorrhage Control
  • Lesson 3 – Special Considerations
  • Lesson 4 – Chapter Review
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