b'Chapter hapterBleeding From the CheekHow to ManageHave the patient sitting with their head forward and leaning toward the injured side.Apply direct pressure over the wound preferably with a clean pad.While maintaining pressure, ask the patient to spit out any blood/fluid and not to swallow ifthere is bleeding into the mouth because this could cause vomiting.Do not rinse out the mouth because this could interfere with blood clotting.Loosen any restrictive clothing around the neck.Closely monitor airway and breathing.If bleeding continues seek medical assistance.A bitten tongue is painful but actually heals very quickly all by itself. Use water to wash the area clean and some ice will help reduce swelling. Have the patient press the tongue against the roof of the mouth - this will help apply pressure to the wound and reduce bleeding. If the cut is quite open, continues to bleed or is contaminated, medical assessment should be sought (suturing may be required).A bitten lip is also very painful. Wash thoroughly and apply some ice to help reduce swelling. If the wound continues to bleed or changes shape, medical assessment should be sought (suturing may be required).In both cases, infection can occur quickly due to food contamination so the wounds must be kept clean. Antibiotics may be required if the wound will not heal.Bleeding From the PalmThere are several large blood vessels in the palm and any wound could cause profuse bleeding and distress. Underlying structures such as tendons and nerves could be damaged resulting in loss of feeling or movement in the hand or fingers.How to ManagePlace a clean preferably sterile pad firmly into the palm. Have the patient clench the fist over the pad, if not possible, press over the pad with pressure from their other hand. Firmly bandage.Elevate the injury by raising the arm supportedby a sling.Refer the patient to medical assistance.Bleeding 81'