If life-threatening external bleeding continues after applying direct pressure, which action is appropriate?

If life-threatening external bleeding continues after applying direct pressure, which action is appropriate?

• A. Wait and re-evaluate after several minutes
• B. Apply a tourniquet if trained
• C. Reapply ice
• D. Call EMS only after 30 minutes

Answer: (B)

When life-threatening external bleeding continues after direct pressure, the next step is to apply a tourniquet if you are trained. A tourniquet works by stopping blood flow to the injured limb, which can be crucial when pressure alone can’t control the hemorrhage. Place the tourniquet on the limb above the wound (closer to the body) and tighten it until the bleeding stops or is greatly reduced, then note the time it was applied. After applying, call EMS and monitor the person for signs of shock, keeping them warm and continuing care as needed. Delaying for re-evaluation, reapplying ice, or waiting too long to involve emergency services won’t stop the bleeding and can be life-threatening.

When life-threatening external bleeding continues after direct pressure, the next step is to apply a tourniquet if you are trained. A tourniquet works by stopping blood flow to the injured limb, which can be crucial when pressure alone can’t control the hemorrhage. Place the tourniquet on the limb above the wound (closer to the body) and tighten it until the bleeding stops or is greatly reduced, then note the time it was applied. After applying, call EMS and monitor the person for signs of shock, keeping them warm and continuing care as needed. Delaying for re-evaluation, reapplying ice, or waiting too long to involve emergency services won’t stop the bleeding and can be life-threatening.