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What should you do if a casualty shows signs of internal bleeding?

  1. Transport them immediately with no further assessment

  2. Provide fluids to the victim

  3. Keep them in a recovery position

  4. Perform CPR until help arrives

The correct answer is: Keep them in a recovery position

When a casualty shows signs of internal bleeding, keeping them in a recovery position is crucial for several reasons. The recovery position helps maintain an open airway, reduces the risk of choking, and allows for proper drainage of any fluids from the mouth. It is particularly important if the individual loses consciousness or has an altered level of consciousness due to potential shock from the internal bleeding. This position also helps in managing other complications that may arise, such as preventing aspiration if the casualty vomits. Maintaining their comfort and minimizing movement is essential, as unnecessary movement can exacerbate the internal injury or make the situation worse. Transporting them immediately without assessment can overlook serious conditions that require immediate intervention and could lead to a deterioration in the casualty's state. Providing fluids can be essential in certain cases, but in the case of internal bleeding, it is generally better to avoid giving anything by mouth unless specifically directed by medical professionals. Performing CPR is critical only in the event of cardiac arrest; if the casualty shows signs of internal bleeding, other priorities take precedence. Thus, ensuring the individual remains in a recovery position is a prudent choice, as it addresses some immediate care needs while awaiting professional medical assistance.