Citation

Erdman MO, Chardavoyne P, Olympia RP. NASN Sch. Nurse 2019; 34(5): 280-286.

Affiliation

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine,Attending Pediatric Emergency Medicine Physician, Penn State Hershey Medical Center, Hershey, PA.

Copyright

(Copyright © 2019, National Association of School Nurses, Publisher SAGE Publishing)

DOI

10.1177/1942602X19837525

PMID

30920935

Abstract

With the continued threat of mass casualty incidents in schools and surrounding communities, it is essential for school nurses to be knowledgeable regarding the recognition of hemorrhagic shock due to massive bleeding and the acute management of these victims. In the past decade, increased interest and research in acute bleeding control have led to published evidence-based guidelines to reduce morbidity and mortality for victims of violent acts. It is essential that healthcare providers, including nurses who are the first responders in schools, are aware of methods to assess and control massive bleeding. This article summarizes the most up-to-date recommendations for the management of children with traumatic bleeding.

Language: en

Keywords

bleeding control; hemorrhagic shock; mass casualty events; tourniquets