First Aid for Severe Bleeding Certification Manual: Steps to Control Bleeding
- 1. Introduction
- 2. Recognizing Types of Bleeding
- 3. Recognizing Severe Bleeding
- 4. Equipment - Dressings & Bandages
- 5. Equipment - Tourniquets & Hemostatic Agents
- 6. Initial Emergency Actions
- 7. Steps to Control Bleeding
- 8. Recognizing & Treating Shock
- 9. Aftercare
- 10. Common Mistakes
- 11. Conclusion
- MyCPR Now™ Glossary
In cases of severe bleeding, it is crucial to call emergency services immediately to ensure the person receives prompt medical attention.
Severe bleeding can lead to life-threatening consequences if not enough blood circulates through the body. This can result in a lack of oxygen in the tissues, heart attacks, or organ damage, which is referred to as shock in response to injury or illness.
STEPS TO CONTROLLING BLEEDING WITH DIRECT PRESSURE
- Elevate the wound and start applying direct pressure with a gloved hand.
- Place a dressing or bandage on the wound while still applying pressure to the wound. If there is an embedded object, apply pressure around it to control the bleeding.
- If blood soaks through the gauze or cloth, do not remove it. Instead, add more gauze or cloth on top and continue applying direct pressure until the bleeding stops.
- If the bleeding persists, consider applying a tourniquet. Getting the bleeding person to a medical facility is crucial for proper care.
- Apply tourniquet 2 inches above the wound (but, not on a joint, the neck, head or core body). A tourniquet helps stop blood flow from a major blood vessel in emergency situations.
- Tighten the tourniquet until bleeding stops.
- Note the time that the tourniquet was applied.
- Perform CPR if necessary.
STEPS FOR DRESSING AND BANDAGING SEVERE WOUNDS
- Ensure scene safety
- Get PPE and first aid kit
- Dial 911
- Use the appropriate size gauze or a clean cloth to cover the wound and hold on top of the wound
- Size the gauze or clean cloth by making sure it will cover the entire wound
- Hold firm pressure on the wound
- If bleeding is controlled then secure the dressing with tape or if continued pressure is needed, secure the dressing with a bandage. Securing the dressing properly is crucial to prevent further injury.
Proper care is essential to promote the healing process and prevent infection.
PROCEDURE FOR USING A TOURNIQUET TO STOP BLEEDING
- Ensure scene safety.
- Get PPE and first aid kit.
- Dial 911.
- If necessary, move the injured person to a safe location before proceeding.
- Place the tourniquet approximately 2 inches above the wound (do not place on a joint).
- Tighten the tourniquet until the bleeding has stopped or dramatically slowed. Controlling life-threatening bleeding is crucial to prevent further complications.
- Note the time. Immediate medical attention is necessary, and medical professionals should be informed about the use of the tourniquet.
- Perform CPR if necessary.