What is the first step in managing external hemorrhage from a bleeding wound?

What is the first step in managing external hemorrhage from a bleeding wound?

• A. Apply a tourniquet immediately
• B. Direct pressure to the wound
• C. Elevate the limb only
• D. Cover with a dry dressing without pressure

Answer: (B)

Direct pressure on the wound is the first step because it directly stops bleeding at its source by compressing the vessel and encouraging clot formation. Use a clean dressing and press firmly; if the dressing soaks through, do not remove it—add more layers and keep applying pressure. Elevation can help once bleeding is controlled, and a tourniquet is reserved for scenarios where direct pressure fails or the bleeding is life‑threatening, not as the initial action. Covering with a dry dressing without applying pressure will not stop the hemorrhage.

Direct pressure on the wound is the first step because it directly stops bleeding at its source by compressing the vessel and encouraging clot formation. Use a clean dressing and press firmly; if the dressing soaks through, do not remove it—add more layers and keep applying pressure. Elevation can help once bleeding is controlled, and a tourniquet is reserved for scenarios where direct pressure fails or the bleeding is life‑threatening, not as the initial action. Covering with a dry dressing without applying pressure will not stop the hemorrhage.