What is the first step in controlling external bleeding?

What is the first step in controlling external bleeding?

• A. Elevate the limb
• B. Direct pressure with a 4x4
• C. Apply a tourniquet
• D. Pack wound

Answer: (B)

The first step in stopping external bleeding is to apply firm direct pressure to the wound with a clean dressing (such as a 4x4 gauze pad). This directly compresses the injured vessels, helps form a clot, and rapidly reduces blood loss. If blood soaks through, do not remove the initial dressing—add more layers and keep pressing to maintain pressure. Elevation can be considered after applying pressure if no fracture is suspected, but it does not replace the need to control the bleed with direct pressure. Only if bleeding persists despite firm direct pressure should you escalate to other measures like packing the wound or using a tourniquet.

The first step in stopping external bleeding is to apply firm direct pressure to the wound with a clean dressing (such as a 4x4 gauze pad). This directly compresses the injured vessels, helps form a clot, and rapidly reduces blood loss. If blood soaks through, do not remove the initial dressing—add more layers and keep pressing to maintain pressure. Elevation can be considered after applying pressure if no fracture is suspected, but it does not replace the need to control the bleed with direct pressure. Only if bleeding persists despite firm direct pressure should you escalate to other measures like packing the wound or using a tourniquet.