If bleeding continues after initial steps, which action may be added?

If bleeding continues after initial steps, which action may be added?

• A. Add pressure above the wound
• B. Remove dressing
• C. Apply heat
• D. Massage area

Answer: (A)

Controlling external bleeding relies on reducing blood flow to the injured area. If direct pressure and dressing have not stopped the bleeding, applying firm pressure to the artery above the wound can help by narrowing the main blood supply to the site, giving the clotting process a better chance to work. This proximal pressure slows arterial inflow and can stop otherwise persistent bleeding. Keep applying pressure with a clean dressing and avoid removing the dressing or comforting the wound by massaging. Heat can increase bleeding, and massaging can dislodge clots, so those actions aren’t appropriate. If bleeding remains uncontrolled, seek medical help or call for advanced care.

Controlling external bleeding relies on reducing blood flow to the injured area. If direct pressure and dressing have not stopped the bleeding, applying firm pressure to the artery above the wound can help by narrowing the main blood supply to the site, giving the clotting process a better chance to work. This proximal pressure slows arterial inflow and can stop otherwise persistent bleeding. Keep applying pressure with a clean dressing and avoid removing the dressing or comforting the wound by massaging. Heat can increase bleeding, and massaging can dislodge clots, so those actions aren’t appropriate. If bleeding remains uncontrolled, seek medical help or call for advanced care.