How should external bleeding from a limb be controlled before transport?

How should external bleeding from a limb be controlled before transport?

• A. Elevate limb only
• B. Massage the area
• C. Direct pressure; apply a tourniquet if bleeding persists after direct pressure; document time of application
• D. Apply a cold pack

Answer: (C)

When bleeding from a limb is present, start with direct pressure using a clean dressing to compress the wound and form a clot. This immediate pressure is the most effective way to stop hemorrhage quickly. If the bleeding persists after direct pressure, apply a tourniquet proximal to the wound and tighten until the bleeding stops. Document the time the tourniquet was applied so the receiving clinicians know how long it has been in place. Elevation and cold packs aren’t reliable primary controls for significant external bleeding, and massaging the wound can dislodge clots and worsen bleeding.

When bleeding from a limb is present, start with direct pressure using a clean dressing to compress the wound and form a clot. This immediate pressure is the most effective way to stop hemorrhage quickly. If the bleeding persists after direct pressure, apply a tourniquet proximal to the wound and tighten until the bleeding stops. Document the time the tourniquet was applied so the receiving clinicians know how long it has been in place. Elevation and cold packs aren’t reliable primary controls for significant external bleeding, and massaging the wound can dislodge clots and worsen bleeding.