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An injured person may bleed profusely from the wound but sometimes the wounds are in some vital part of the body and the blood does not come out of any of the orifices. The fact that the hemorrhage is internal may be more serious and less amenable to first aid. The only thing that can be done by an untrained person is to recognize the seriousness of condition. In most cases of internal bleeding, the pulse becomes rapid and thready and the blood pressure falls gradually till the patient loses consciousness and dies. The pulse count which should be 72 to 80 p/m normally will go on increasing if there is internal bleeding. If it increases gradually and beat of the pulse become thready and week, the patient must get immediate medical aid to save his life. Before the doctor comes or the patient reaches hospital, he should be made to lie quietly and should not be permitted to talk. He may be given a little cold water to sip or an ice cube to suck; nothing else should be given to him. Alcohol should not be given in any form, since it is likely to mask the symptoms making it difficult for the doctor to diagnose the disease.

Extreme care should be taken in case of head injuries. The cardinal symptom to look for is that the brain damage resulting from a head injury is evident from the state of the eyes. The eye balls get out of alignment, i.e. the patient becomes cross-eyed and may also lose the power of speech.


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