What is the first step in controlling life-threatening external bleeding?

What is the first step in controlling life-threatening external bleeding?

• A. Apply a tourniquet immediately
• B. Direct pressure
• C. Call EMS first and then touch the wound
• D. Elevate without applying pressure

Answer: (B)

Direct pressure is the first step because it immediately compresses the wound and helps the body form a clot, rapidly reducing blood loss in most external injuries. Start by placing a clean cloth or gauze over the wound and press firmly with your palm. Keep applying steady pressure; if blood soaks through, don’t lift the dressing—add more material on top and continue pressing. If an object is embedded, don’t remove it—control the bleeding by applying pressure around it and seek help. Elevation can be used as a supportive measure later, but it isn’t a substitute for pressing the wound. After you’ve begun direct pressure, call EMS if the bleeding is life-threatening or you haven’t already, and be prepared to escalate with additional measures like a tourniquet only if you are trained and direct pressure continues to fail.

Direct pressure is the first step because it immediately compresses the wound and helps the body form a clot, rapidly reducing blood loss in most external injuries. Start by placing a clean cloth or gauze over the wound and press firmly with your palm. Keep applying steady pressure; if blood soaks through, don’t lift the dressing—add more material on top and continue pressing. If an object is embedded, don’t remove it—control the bleeding by applying pressure around it and seek help. Elevation can be used as a supportive measure later, but it isn’t a substitute for pressing the wound. After you’ve begun direct pressure, call EMS if the bleeding is life-threatening or you haven’t already, and be prepared to escalate with additional measures like a tourniquet only if you are trained and direct pressure continues to fail.