Internal Injuries

Internal injuries may not be immediately visible but can be serious. If such an injury is suspected, the patient’s pulse should be monitored every 10 minutes, as a rising pulse rate may indicate internal bleeding. Restlessness can also be a sign of internal bleeding and requires close observation.

If the patient is in severe pain and there are no contraindications such as head or chest injuries, morphine may be given to control pain and reduce restlessness, thereby minimizing further bleeding.

In cases of abdominal injury where internal organs protrude, urgent medical attention is required. The patient should be placed on their back with knees bent to relax the abdomen. The exposed organs must not be pushed back inside but should be covered with clean, damp cloths and kept moist. Nothing should be given by mouth, and intravenous fluids may be required if evacuation is delayed.