Medically reviewed by Alana Biggers, M.D., MPH — created by Kimberly Holland — update on July 27, 2018

Is this common?

Each year, about 60,000 Americans dice from hemorrhaging, or blood loss, a 2018 testimonial estimates.

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Worldwide, the number is practically 2 million. As numerous as 1.5 million of this deaths space the an outcome of physical trauma.

Although injury is often connected with clearly shows wounds, you can bleed to death (exsanguination) without ever before seeing a autumn of blood.

Keep analysis to learn just how to recognize the signs of inner bleeding, just how to stop outside bleeding until assist arrives, what that feels prefer to go into hemorrhagic shock, and more.

What walk it feeling like?

Bleeding to fatality may no be painful, yet the early injury have the right to be.

For example, if you’re hurt in a vehicle accident, you may experience an excellent pain from cut or crush injuries. Girlfriend may begin bleeding together a result of the injuries. This blood loss might not cause any more pain than the injuries.

However, together blood lose increases, you’ll begin experiencing signs and symptoms of hypovolemic shock, or hemorrhagic shock. Hemorrhagic shock is a life-threatening condition. The occurs as soon as your body loses a the majority of blood quickly.

Mild symptoms of hemorrhagic shock include:


Symptoms will certainly become more severe as blood loss increases. This symptoms include:

pale skincold or clammy skinrapid love rateweak pulserapid, shallow breathinglightheadednessdizzinessconfusionloss of consciousness
how long does that take?

Bleeding to death can happen very quickly. If the hemorrhaging isn’t stopped, a person have the right to bleed to death in just five minutes. And if your injuries room severe, this timeline might be also shorter.

However, not every human being who bleeds to death will dice within minute of the begin of bleeding. If you have actually a clotting trouble or a slow internal bleed, for example, it deserve to take days because that the blood loss to be severe enough to cause hemorrhagic shock.

how much blood is lost?

The amount of blood you have in her body counts on her age and size. The nationwide Institutes of health and wellness say a 154-pound guy has in between 5 and also 6 liters that blood in his body. A smaller woman might have between 4 and also 5 liters in she body.

Hemorrhagic shock begins when girlfriend lose about 20 percent, or one-fifth, of her body’s blood or liquid supply. In ~ this point, her heart isn’t able to pump sufficient amounts of blood with your body.

You with exsanguination once you lose 40 percent of your body’s blood or fluid supply. This problem can be fatal if the bleeding isn’t stopped and also treated quickly.

can your period cause this?

The average woman loser 60 milliliters — about 2 ounces — the blood throughout her period. Women with heavier durations (menorrhagia) generally lose 80 milliliters (2.7 ounces) the blood.

Although this might seem favor a lot, the person body holds an ext than 1 gallon that blood. Shedding a pair of ounces throughout your menstrual bike isn’t sufficient to reason complications or result in exsanguination.

If she concerned around blood loss from your menstrual period, see your doctor. They can determine whether her bleeding is continuous with menorrhagia or if your symptoms space tied to an additional underlying condition.

If a woman has endometriosis, that misplaced organization can reason heavy blood loss that she cannot see due to the fact that it is surprise in the abdominal or pelvic area throughout her term cycle.

Treatment can help reduce bleeding and also may make symptoms simpler to manage.

What injuries can cause this?

Injuries the can cause you to bleed to death include:

crush injuries from car mishaps or a hefty object fallout’s on yougunshot woundsstab or puncture wounds from a needle or knifehematoma (a arsenal of blood, such together a clot, external of a blood vessel) cut or abrasions to interior organscuts or lacerations come the skinblunt pressure trauma from affect with an object
do you constantly see the blood?

You don’t have to see blood leave your body to bleed come death. Inner bleeding can additionally be fatal.

Internal bleeding can an outcome from:

a to like injuryblunt force traumaan abrasion or cut to an interior organ a take it or ruptured blood vessela damaged organ

Symptoms of inner bleeding aren’t constantly easy come identify. They regularly go unnoticed, especially if blood loss is slow.

Seek immediate medical attention if girlfriend notice:

blood in urineblood in stoolblack or tarry stoolvomiting bloodchest painabdominal swellingabdominal painvomiting blood
What have to you carry out if you have a severe wound?

If you or someone around you is experiencing severe exterior bleeding, contact 911 or your local emergency services appropriate away.

In many cases, emergency solutions will keep you ~ above the phone call until help arrives. Castle may also advise friend on exactly how to minimization the bleeding.

They might ask you to:

Raise or elevate any injured body part, other than the head. Nothing move civilization who have injuries to their legs, back, neck, or head.Apply tool pressure to the wound through a clean cloth, bandage, piece of clothing, or your hands. Don’t use pressure to eye injuries.Lie down — or help the injured human lie down — if possible. If you faint, you’re much less likely to develop added injury due to the fact that you’re unable to fall.

When emergency personnel arrive, carry out as much details as girlfriend can about what happened and what you’ve excellent to stop the circulation of blood indigenous the wound.

If you’re speaking on behalf of someone who injured, let very first responders understand what happened and also what you’ve done to provide aid. Also share any added information that you know around their medical history, consisting of chronic problems or drug allergies.

The window for treatment and also survival drops into 3 categories: minutes, hours, and days.

More than fifty percent of world with traumatic injuries, consisting of hemorrhaging, die within minute of the accident or injury.

A 2013 evaluation estimates around 30 percent the deaths native traumatic injury take place within the an initial 24 hours of injury.

It isn’t common, but it’s possible to endure the early stage injury yet die as a result days or main later. This accounts for 9 percent of trauma-related deaths.

If you’re maybe to gain treatment, her outlook improves. The quicker you have the right to receive help, the higher your possibility of surviving.

The an initial lines of treatment focus on preventing the bleeding and preventing extr blood loss. If you’ve lost enough blood, doctors may try to replace some of it through a transfusion or other intravenous (IV) liquid supply. Friend may additionally receive additional transfusions later.

Once the bleeding stops, her body will naturally begin to fix shock-related damages and aid restore her blood supply.

In many ways, your body is qualified of managing the repair from hemorrhagic shock by itself. However, medication and also other therapies can aid the process along.

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Certain medications, because that example, can aid boost her heart’s pump power and improve circulation.