"Bleeding into the skin" refers to the leakage of blood from small blood vessels into the surrounding tissues, leading to visible skin changes such as red dots, burst vessels, and blood pooling.

distended abdomen (if peritoneal bleeding occurs) Blood in bodily fluids (vomit, stool, urine) Symptoms of hypovolemic shock: anxiety, dizziness, weak pulse, pale/cool skin, slow capillary refill ...