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BDifficulty 1/5

Does a casualty’s very pale, cold skin by itself establish whether bleeding is internal or external?

Correct answer

No, those signs do not identify a specific bleeding type on their own.

No. Pallor and cold skin may accompany shock, which can result from internal or external bleeding and other causes. Do not diagnose the bleeding type from skin colour alone. Make the scene safe, call 112, follow instructions and monitor responsiveness and breathing; keep the casualty warm. A road accident may involve neck or other injuries: avoid unnecessary movement and do not automatically raise the legs in every case. If unresponsive and not breathing normally, start CPR under emergency guidance.

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All options

  • No, those signs do not identify a specific bleeding type on their own.

  • Yes, they always prove internal bleeding.

  • Yes, they always prove external bleeding.

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