Talk:Internal bleeding

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 4 March 2019 and 29 March 2019. Further details are available on the course page. Student editor(s): Drgoose89. Peer reviewers: Alulu00.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 00:37, 17 January 2022 (UTC)

What is the treatment for internal bleeding?

This page is a disaster, especially the first few sentences under 'Causes'. Please edit.

This is an important article
Internal bleeding is an important subject and deserves a better article —Preceding unsigned comment added by 70.54.112.35 (talk) 01:01, 30 November 2009 (UTC)

Proposed updates (March 2019)
Hi all,

I'd like to make some updates to this page, as it's very vague, has outdated citations, and is missing many sections according to the MoS for medicine-related articles. I appreciate any input for these proposed changes:

- Add Classification: differentiate internal bleeding from external bleeding and arterial bleeding from venous bleeding. Goal: complete by 3/11 Update 3/20: elected not to include as there is no true classification system. Defined in lede

- Add Signs & Symptoms with Complications sub-section: Initially no pain → pain, swelling, bruising, hemorrhagic shock, etc. Should link to hemorrhagic shock page, may include hemorrhagic shock classification 1-4. Link out to pages for specific sources of bleeding by body part (ex. Intracranial → subarachnoid, subdural, epidural bleed): Goal: complete between 3/13 - 3/16 Update 3/20: S&S completed, still need to complete complications - Updates Causes: change "trauma" vs. "pathologic disease" vs. "health care caused" to "traumatic" vs. "non-traumatic" vs. "other. Traumatic should list blunt vs. penetrating. Link out to types. Non-traumatic causes will link out to types. List medical error/iatrogenic under other. Goal: complete 3/22 - 3/24        Update 3/20: removed incorrect info and reorganized

- Will not add Mechanism as it is dependent on the mechanism of injury.

- Add Diagnosis: discuss general assessment (physical exam including vitals --> imaging). Goal: complete 3/13 - 3/16 Update 3/20: completed, kept intentionally non-specific to avoid providing medical advice

- Add Treatment: discuss and link to fluid resuscitation, medical management, "watch and wait", surgical intervention. Goal: complete 3/22 - 3/24 Update 3/20: in progress, need to complete non-medical internvention, kept intentionally non-specific to avoid providing medical advice

- Update Prognosis to Outcomes: currently poorly cited, will update to add most common outcomes. Goal: complete 3/22 - 3/24

I hope to update the lede after these sections are completed.

-- Julia Sobel 02:27, 6 March 2019 (UTC) — Preceding unsigned comment added by Drgoose89 (talk • contribs)

Peer Review
Hi Drgoose89,

Overall, this is a great general article about internal bleeding. This is probably the landing article RE: bleeds for many readers before they are referred out to articles for specific bleeds; I would continue to tailoring the design/layout of the article toward 1. easy-to-read mapping/linking to more defined bleeds, and 2. what can laypersons/patients do urgently while EMT arrives. From a content standpoint, you certainly did a lot with the original skeleton article--bravo! If possible, I would find out more general themes about "internal bleeding" and elaborate on how it contrasts in terms of risks/prognosis/epidemiology/management of other types of bleeds. Overall, very easy to read and helpful resource to search different iterations of interal bleeing. Fantastic work!

What is happening with the "Stop the bleed" section?
I tried rephrasing some things but it is still quite confusing on the medical procedure required to stop the internal bleeding. An expert needs to review this article. Timato24 (talk) 00:09, 22 February 2020 (UTC)

Wiki Education assignment: BioC 7210 - Wikipedia Editing for Health Care Professionals
— Assignment last updated by Leximed (talk) 20:35, 2 October 2023 (UTC)

Internal bleeding outline
This article as of now has some vague areas that I think should be expanded upon, this page may be someone's first introduction to a critical situation.

Additions: via Uptodate, will collect more research.

Links to ATLS- current trauma guidelines

Augment treatment section: Giving IV fluids in the setting of trauma is a controversial topic as of now. Should update with the current guidelines, IVF fluids should only be given if MAP <60, and should be given in the smallest volumes needed to avoid impaired clotting from diluted blood.

Add-Blood thinners should be stopped to avoid worsening of bleeding

Expand on imaging section organized for area of bleed

e-FAST: abdomen, chest, lungs

CT head without contrast: intracranial hemorrage

CT Abd, pelvis

Add Possible outcomes of internal bleeding- general-ischemia, acidosis/ hypovolemic shock Jasperchico (talk) 15:58, 8 September 2023 (UTC)

Intro
The sentence "Internal bleeding is a medical emergency and should be treated immediately by medical professionals." at the end of the first paragraph should be the first sentence of the page. If someone is coming to this page bc they have concerns that they, or someone they know, may be bleeding internally, they should stop reading and proceed to the nearest emergency room. Leximed (talk) 16:19, 8 October 2023 (UTC)

Introduction
I am going to update the signs and symptoms section to be in layman's terms. Jasperchico (talk) 16:43, 8 October 2023 (UTC)