In the case of external bleeding that is difficult to control, what should be done?

In managing external bleeding that is difficult to control, a combination of applying a tourniquet and continuing direct pressure is essential. This approach allows for the immediate intervention needed to stop life-threatening hemorrhage while waiting for more advanced medical support.

Applying a tourniquet is crucial in cases where direct pressure alone is ineffective, especially in severe limb bleeding. This method can rapidly occlude blood flow to the affected area, significantly reducing the risk of shock and complications from excessive blood loss. It’s important to ensure the tourniquet is applied correctly and to monitor the casualty for further changes.

Simultaneously, continuing direct pressure on the wound can still be beneficial, particularly for bleeding that may not be amenable to a tourniquet, such as in certain injuries or areas of the body where a tourniquet cannot be applied effectively. Using direct pressure while preparing to apply a tourniquet or waiting for further assistance maximizes the chances of controlling the bleeding.

Thus, both actions—immediate application of a tourniquet and the continuation of direct pressure—form a comprehensive approach to managing external bleeding, which is why this choice is the most effective response in a critical situation.