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Bleeding can be external or internal.

I. External bleeding

  • Be extremely careful while administering first aid to a victim. Clean your hands with soap and water and if you have any sores or open wounds, cover them with a water proof adhesive dressing or gloves to avoid cross infection.
  • Remove or cut clothing to expose the wound. Clean the affected area by removing any dirt, if present.

No embedded object in the wound

  • With the help of a sterile dressing or a clean cloth, apply direct pressure on the affected area to control bleeding.
  • Apply a sterile dressing or bandage to cover the affected area. If the bleeding continues and seeps through the dressing, do not remove it. Place another dressing over it.
  • Arrange for medical help immediately.

Embedded object present

  • If any object is embedded at the site of injury and applying direct pressure is not possible, apply pressure on both the sides of the object.
  • Do not try to remove the embedded object as it may further damage the area.
  • Apply gauge pads adjacent to the protruding object so that you can bandage over the object without pressing on it.
  • Arrange for medical help immediately.


II. Internal bleeding

Internal bleeding may result due to any injury or damage to internal organs due to disease conditions like ulcers etc. Internal bleeding may be serious and may result in shock and can also damage other organs of the body and hence requires immediate medical attention.


  • Shock without significant external blood loss.
  • Blood flow from natural body openings like nose, mouth, ears.
  • Pain.
  • Pallor.
  • Cold skin.
  • Rapid pulse.
  • Restlessness.
  • Irritability.
  • Confusion.
  • Unconsciousness.

First Aid

  • Help the victim lie down.
  • Cover the victim with a blanket or any other cloth to protect him / her from cold.
  • Check breathing and pulse every 10 minutes.
  • Call for immediate medical help