If extensive bleeding causes light-headedness or symptoms of shock , the person should be laid down and the legs elevated. internal bleeding damages the body both from the loss of blood and from the pressure the misplaced blood puts on other organs and tissues. However, the person may be distracted from this pain by other injuries or may be unable to express pain because of confusion, drowsiness, or unconsciousness. Shock - not to be confused with emotional shock – is a life-threatening … treatment usually takes place in a hospital's emergency depar First aid advice for bleeding wounds including nose bleeds, severe bleeding and shock including what to do and when to get medical assistance. First Aid/Internal Bleeding. Other times the blood stays inside the body, causing pain and shock, even though you cannot see the blood loss. First-Aid Treatment A lay person cannot stop internal bleeding. Shock. Eventually, internal bleeding usually becomes apparent. Other first aid categories. 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