What is the correct sequence for managing external bleeding in an amputation case?

• A. Apply direct pressure, then tourniquet proximal to the wound if bleeding persists; secure dressings.
• B. Elevate limb, then apply a tourniquet.
• C. Apply tourniquet first, then direct pressure.
• D. Apply only dressings.

Answer: (A)

Controlling external bleeding starts with direct pressure. Press firmly on the wound with a clean dressing to compress the vessels and form a clot. If blood continues to flow after applying direct pressure, escalate to a tourniquet placed proximal to the wound and tighten until bleeding stops, then cover with dressings to secure the pressure. Elevation can help reduce blood loss, but it should not delay applying direct pressure or a tourniquet when bleeding is severe. In an amputation, stopping the bleed quickly with direct pressure and, if needed, a tourniquet, is the priority so you maintain circulation and protect the patient while help is on the way.