Question

what should be done to stop internal bleeding due to abdominal stab wound​

Answer 1

Answer:

It is crucial to stop the internal bleeding immediately (achieve hemostasis) after identifying its cause.The longer it takes to achieve hemostasis in people with traumatic causes (e.g. pelvic fracture) and non-traumatic causes (e.g. gastrointestinal bleeding, ruptured abdominal aortic aneurysm) is corrolated with an increased death rate.

Unlike with external bleeding, most internal bleeding cannot be controlled by applying pressure to the site of injury. Internal bleeding in the thorax and abdominal cavity (including both the intraperitoneal and retroperitoneal space) cannot be controlled with direct pressure (compression). A patient with acute internal bleeding in the thorax after trauma should be diagnosed, resuscitated, and stabilized in the Emergency Department in less than 10 minutes before undergoing surgery to reduce the risk of death from internal bleeding. A patient with acute internal bleeding in the abdomen or pelvis after trauma may require use of a REBOA device to slow the bleeding. The REBOA has also been used for non-traumatic causes of internal bleeding, including bleeding during childbirth and gastrointestinal bleeding.

Internal bleeding from a bone fracture in the arms or legs may be partially controlled with direct pressure using a tourniquet.After tourniquet placement, the patient may need immediate surgery to find the bleeding blood vessel.

Internal bleeding where the torso meets the extremities ("junctional sites" such as the axilla or groin) cannot be controlled with a tourniquet. For bleeding at junctional sites, a dressing with a blood clotting agent (hemostatic dressing) should be applied.

Manage or reverse blood loss

Sometimes, surgery

People are given intravenous fluid as needed to replace blood loss. People who have lost a significant amount of blood are given blood transfusions.

Surgery may be needed to

Repair damaged organs

Stop bleeding

Although many injuries to solid organs, such as the liver and spleen, heal on their own, people with abdominal organ injury detected by CT or ultrasonography are hospitalized and examined every few hours to ensure that bleeding stops and symptoms do not worsen. Sometimes CT or ultrasonography is repeated.