What assessment should be performed when managing a contusion?

When managing a contusion, assessing for internal bleeding is essential because a contusion occurs when blood vessels are damaged, leading to bleeding under the skin. This internal bleeding may indicate more severe underlying injuries, especially if the contusion is large, associated with significant swelling, or located in a critical area.

Internal bleeding can compromise blood flow and oxygen to nearby tissues and may indicate damage to underlying structures such as muscles, tendons, or even organs, particularly if the contusion is in a vulnerable location. Therefore, conducting an assessment for internal bleeding helps determine the severity of the injury and the urgency of the required interventions.

While measuring the size of the bruise, checking for pulse and movement, or measuring range of motion can provide useful information about the injury, they do not directly assess the risk or presence of internal bleeding, which could significantly affect the patient’s health. Therefore, prioritizing an assessment for internal bleeding is crucial in the management of contusions.