How should external limb bleeding be controlled in the ED?

How should external limb bleeding be controlled in the ED?

• A. Direct pressure; apply a tourniquet if bleeding is life-threatening and not controllable with pressure; record time of application and continue reassessment
• B. Elevation only
• C. Apply a tourniquet immediately without prior pressure
• D. Direct pressure and apply a tourniquet after assessment without recording time

Answer: (A)

Bleeding control starts with direct pressure to stop the bleed and form a clot. Elevation can help, but it isn’t sufficient by itself for significant external limb bleeding. If direct pressure cannot control a life-threatening limb bleed, apply a tourniquet promptly. The tourniquet should be used only after attempting pressure, and you must record the time of application and continuously reassess distal perfusion and limb status. This documentation and ongoing reassessment guide further care and prevent delays in treatment.

Bleeding control starts with direct pressure to stop the bleed and form a clot. Elevation can help, but it isn’t sufficient by itself for significant external limb bleeding. If direct pressure cannot control a life-threatening limb bleed, apply a tourniquet promptly. The tourniquet should be used only after attempting pressure, and you must record the time of application and continuously reassess distal perfusion and limb status. This documentation and ongoing reassessment guide further care and prevent delays in treatment.