What is the first step in controlling massive hemorrhage?

The first step in controlling massive hemorrhage is the application of direct pressure to the wound. This method is crucial because it helps to physically compress the blood vessels and tissues surrounding the injury, promoting clot formation and minimizing blood loss. Direct pressure can be applied using a clean cloth, gauze, or any available material to exert pressure on the area. It is often effective for managing external bleeding from traumatic injuries during the critical moments following trauma.

While elevating the limb, applying a tourniquet, or initiating intravenous fluid resuscitation are all important in the management of hemorrhagic shock, they are typically considered subsequent measures after direct pressure has been attempted. If direct pressure is insufficient to control severe bleeding, a tourniquet may be applied as the next step. However, direct pressure should always be the first approach, as it is the most immediate and practical method of stabilizing the situation before advanced intervention is needed.