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This article outlines the assessment and management of closed, open-bleeding and open-clotted haematomas, with emphasis on timely escalation and risk identification, based on the haematoma clinical decision guide designed by the author to address hesitation and poor confidence among nurses in dealing with haematomas in the community. The importance of holistic assessment is highlighted, including comorbidities, coagulation status and recognition of complications such as compartment syndrome. Particular consideration is given to lower limb haematomas, where vascular assessment is essential before initiating compression therapy. Appropriate debridement options for community practice such as autolytic, mechanical and biological are discussed. 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