NREMT Paramedic

Answer: E - All of the steps above are reasonable for managing patients who have possible internal bleeding except offering the patient anything by mouth, including water. Patients with possible internal bleeding should not be given anything by mouth because the likelihood of vomiting is already increased. Should the patient vomit, not only is it uncomfortable and messy, but it increases intrathoracic pressure and can exacerbate bleeding and injury. Instead, focus on having the patient lying still, treat the patient for shock, and stay alert to the possibility of the patient vomiting.