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Bleeding

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Bleeding happens when blood escapes from the circulatory system. This occurs because blood vessels are damaged. This can happen in many different ways. Some bleeding is external, which means it comes through a hole in the skin. It can also come from natural openings like the nose or mouth. Other bleeding is internal, which means it stays inside the body. This can happen in organs like the liver or the spleen.

A skateborder falls off his board and cuts his hand
A skateborder falls off his board and cuts his hand

Your body has a special way to stop bleeding. This process is called hemostasis. It is a very important part of surgery and first aid. To stop a leak, your blood uses tiny parts called platelets. These platelets form a plug in the wall of the blood vessel. They also make substances that help create a blood clot. This clot acts like a seal to stop the flow.

Pulmonary haemorrhage - high mag
Pulmonary haemorrhage - high mag

Many things can cause a person to bleed. Traumatic injury is one common cause. This includes an abrasion, which is a graze on the skin. It also includes a laceration, which is an irregular wound. A puncture wound happens when an object like a nail enters the skin. You might also see a contusion, which is a bruise. Some bleeding comes from medical conditions instead of injuries. This is called medical bleeding.

Eye hemorrhage
Eye hemorrhage

Certain medicines can change how your body stops bleeding. For example, aspirin is a type of nonsteroidal anti-inflammatory drug, or NSAID. These drugs can stop platelets from working well. This makes it harder for the body to form a plug. Another medicine called warfarin can also increase bleeding risk. It works by stopping the production of Vitamin K in the gut. Your liver needs Vitamin K to make clotting factors. Without these factors, blood does not clot as easily.

Doctors use different scales to measure how much blood is lost. The American College of Surgeons uses four classes of hemorrhage. Class I involves losing up to 15% of your blood volume. A healthy person can usually handle this without big problems. Class II involves losing 15% to 30% of your blood. In Class III, a person loses 30% to 40% of their blood. This can cause blood pressure to drop. Class IV is the most serious. It happens when a person loses more than 40% of their blood volume.

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File:A skateborder falls off his board and cuts his hand.jpg
A skateborder falls off his board and...
File:Eye hemorrhage.jpg
Eye hemorrhage.jpg
File:Pulmonary haemorrhage - high mag.jpg
Pulmonary haemorrhage - high mag.jpg
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