When seconds count: managing haemorrhage in the emergency department

Prompt recognition and control of haemorrhage are fundamental responsibilities for the emergency nurse. Nurses are often the first to identify subtle indicators of bleeding and have a central role in activating major haemorrhage protocols, initiating life-saving interventions and communicating with the wider multidisciplinary team. This article explores the pathophysiology of haemorrhage and details assessment methods and evidence-based management strategies. The author also discusses the nurse's role as clinician, advocate and communicator, alongside ethical considerations and human factors.