# Wounds Without External Bleeding

Part of the First Aid Merit Badge Digital Resource Guide: [Introduction & Overview](https://merit-badge.university/merit-badges/first-aid/guide/index.md)

> **3.** Wounds with No External Bleeding. Describe the symptoms and signs of, show first aid for, and explain prevention of these wounds:

This page is a quick field guide. For each injury, know what it looks like, the first thing to do, and how to avoid it.

## Requirement 3a: Bruises and Hematomas

> **3a.** Describe the symptoms and signs of, show first aid for, and explain prevention of Closed wounds, such as a bruise (contusion) or a hematoma.

- **Signs:** pain, swelling, discoloration, tenderness.
- **First aid:** rest, cold pack wrapped in cloth, elevate if possible.
- **Prevention:** wear protective gear and avoid unnecessary impacts.

## Requirement 3b: Thermal Burns and Scalds

> **3b.** Describe the symptoms and signs of, show first aid for, and explain prevention of Superficial, partial thickness, and full thickness thermal (heat) burns or scalds.

- **Signs:** red or blistered skin; severe burns may look white, brown, black, or waxy.
- **First aid:** stop the burning, cool with cool water, cover loosely, do not pop blisters.
- **Prevention:** use caution around stoves, fires, and hot liquids.

## Requirement 3c: Chemical Burns

> **3c.** Describe the symptoms and signs of, show first aid for, and explain prevention of Chemical burns.

- **Signs:** pain, redness, blistering, burning after chemical contact.
- **First aid:** protect yourself, remove contaminated clothing, flush with water for at least 20 minutes.
- **Prevention:** read labels and wear gloves and eye protection.

## Requirement 3d: Electrical Burns

> **3d.** Describe the symptoms and signs of, show first aid for, and explain prevention of Electrical burns.

- **Signs:** small entrance wound, deeper internal injury, trouble breathing, irregular pulse.
- **First aid:** do not touch the person until the power source is off; call 911.
- **Prevention:** avoid damaged cords, wet hands, and downed lines.

> **Safety First!**
>
> For electrical injuries, scene safety comes first. A rescuer who touches a live source becomes the next victim.

## Requirement 3e: Sunburn

> **3e.** Describe the symptoms and signs of, show first aid for, and explain prevention of Sunburn.

- **Signs:** red, warm, painful skin; severe cases may blister.
- **First aid:** get out of the sun, cool the skin, drink water.
- **Prevention:** sunscreen, hat, sunglasses, and shade.

## Requirement 3f: Snow Blindness

> **3f.** Describe the symptoms and signs of, show first aid for, and explain prevention of Snow blindness.

- **Signs:** painful, red, watery eyes and light sensitivity after snow or glare exposure.
- **First aid:** move to shade, cover closed eyes with cool cloths, do not rub.
- **Prevention:** wear UV-blocking sunglasses or goggles.

## Requirement 3g: Cold Weather Injuries

> **3g.** Describe the symptoms and signs of, show first aid for, and explain prevention of Immersion foot, frostnip, frostbite, and ice burns.

- **Signs:** numbness, pale or waxy skin, swelling, pain, or hard tissue.
- **First aid:** get out of the cold, remove wet clothing, warm gradually.
- **Prevention:** stay dry, layer clothing, and check exposed skin often.

> **Tip**
>
> Do not rub frostbitten skin or use direct heat. Gentle warming is safer.

## Requirement 3h: Abrasions and Rope Burns

> **3h.** Describe the symptoms and signs of, show first aid for, and explain prevention of Abrasions, such as chafing and rope burns.

- **Signs:** scraped or raw skin, burning pain, redness.
- **First aid:** clean gently, cover if needed, reduce friction.
- **Prevention:** proper clothing, gloves for rope work, and early attention to hot spots.

## Requirement 3i: Blister Care

> **3i.** Describe the symptoms and signs of, show first aid for, and explain prevention of Blisters on the hands, feet, buttocks, and shoulders.

- **Signs:** hot spot, tenderness, fluid-filled pocket.
- **First aid:** protect the area, pad around the blister, keep it clean.
- **Prevention:** break in gear, keep skin dry, stop early when rubbing starts.

## Requirement 3j: Puncture Wounds

> **3j.** Describe the symptoms and signs of, show first aid for, and explain prevention of Puncture wounds from splinters, rope splinters, nails, and fish hooks.

- **Signs:** small entry wound with pain and infection risk.
- **First aid:** clean the wound, remove small splinters if easy, seek help for deep wounds or fish hooks.
- **Prevention:** gloves, footwear, and careful tool use.

## Requirement 3k: Poisonous Plant Rash

> **3k.** Describe the symptoms and signs of, show first aid for, and explain prevention of Rash from poisonous plants.

- **Signs:** itchy red rash and blisters after plant contact.
- **First aid:** wash skin and clothing, use anti-itch treatment, avoid scratching.
- **Prevention:** learn the plants and cover exposed skin.

## Requirement 3l: Common Bug Bites

> **3l.** Describe the symptoms and signs of, show first aid for, and explain prevention of Bug bites of chiggers, ticks, mosquitoes, and biting gnats.

- **Signs:** itchy bumps; ticks may stay attached and can spread disease.
- **First aid:** wash the area; remove ticks with tweezers pulled straight out.
- **Prevention:** repellent, long clothing, and tick checks.

![Close-up of correct tick removal with fine-tipped tweezers grasping close to the skin and pulling straight upward](https://ik.imagekit.io/doulacoop/tr:w-800/mbu-assets/merit-badges/first-aid/guide/tick-removal-technique?v=9ff76c59)

## Requirement 3m: Bee Stings

> **3m.** Describe the symptoms and signs of, show first aid for, and explain prevention of Bee stings.

- **Signs:** sharp pain, redness, swelling.
- **First aid:** scrape out the stinger, wash, and use a cold pack.
- **Prevention:** avoid provoking bees and keep food covered.

## Requirement 3n: Spider Bites

> **3n.** Describe the symptoms and signs of, show first aid for, and explain prevention of Bites of spiders.

- **Signs:** pain, redness, swelling; serious bites may cause muscle pain or worsening skin damage.
- **First aid:** wash, cool, and get medical help if serious symptoms appear.
- **Prevention:** shake out gear and use gloves in dark storage areas.

## Requirement 3o: Scorpion Stings

> **3o.** Describe the symptoms and signs of, show first aid for, and explain prevention of Sting of a scorpion.

- **Signs:** intense pain, numbness, tingling.
- **First aid:** wash, use a cold pack, and seek medical advice.
- **Prevention:** shake out shoes and bedding, especially in desert areas.

## Requirement 3p: Animal Bites

> **3p.** Describe the symptoms and signs of, show first aid for, and explain prevention of Bite of a pet or wild mammal or human.

- **Signs:** broken skin, bleeding, swelling, infection risk.
- **First aid:** wash well, control bleeding, cover, and get medical care.
- **Prevention:** do not approach wild animals and use caution with pets.

## Requirement 3q: Venomous Snake Bites

> **3q.** Describe the symptoms and signs of, show first aid for, and explain prevention of Bite of a venomous snake.

- **Signs:** puncture marks, severe pain, swelling, nausea, trouble breathing.
- **First aid:** move away, keep the person calm, and call 911.
- **Prevention:** watch where you step and reach, especially in snake country.

> **Safety First!**
>
> Do not cut the wound, suck out venom, apply ice, or use a tourniquet for a venomous snake bite.

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- Previous: [Preparing for First Aid Emergencies](https://merit-badge.university/merit-badges/first-aid/guide/req2/)
- Next: [Nosebleeds & Mild Bleeding](https://merit-badge.university/merit-badges/first-aid/guide/req4a/)
