Bleeding that won’t stop

First Aid for Bleeding

  1. Assess scene safety
    • If the scene is unsafe do not approach
    • If the scene is safe approach and use standard precautions to protect against infectious microorganisms present in blood that can cause disease including hepatitis b virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV)
  2. Assess responsiveness.
    • Tap and shout ask "Are you OK"
    • Assess breathing for no more than 10 seconds
    • If the person is responsive, breathing, and bleeding is severe, call 911 to activate EMS using a mobile device
  3. Send someone to get the first aid kit & AED
  4. Stop the Bleeding
    • If a tourniquet is available, use it as soon as possible after the injury to stop severe, life-threatening bleeding. Follow the manufacturer’s instructions.
    • The basic steps place, turn, secure, and document.
    • tourniquet
  5. Direct Manual Pressure & Bandaging
    • If tourniquet is not immediately available, the child is less than 2 years old, or when the bleeding is somewhere other than an arm or leg, use direct manual pressure, preferably with a hemostatic dressing. A hemostatic dressing is a sterile gauze dressing rapidly control bleeding than use of direct pressure alone
    • Direct manual pressure on the bleeding vessel is critical to stop bleeding.  Use the heel of one hand with the other hand stacked on top of the first or use the pads of 3 fingers of each hand stacked on top of each other. If blood soaks through the gauze or other material, press harder. Keep pressing hard until the bleeding stops. Don’t remove pressure to add more gauze and don’t remove blood-soaked materials. Once the bleeding stops, wrap an elastic or self-adhesive roller bandage firmly over the gauze or other material to help maintain pressure.
  6. Stay with the person until help arrives