·Expose the wound if there is no foreign object present then apply direct pressure using a clean pad and elevate the limb.
·Secure the dressing in place firmly but not too tightly.
·If the wound continues to bleed then pad over the first dressing.
·If after 2 pads the wound continues to bleed then you will need to remove dressings and re-apply. Ensure pressure is exerted over wound
·If unable to stem bleeding you may have to consider indirect pressure
·Indirect pressure can only be applied to limbs.
·Pressure is exerted over the artery to reduce blood flow.
·This may only be applied for ten minutes.
·Slowly release the pressure and only reapply if the wound continues to bleed.
The complications associated with a severe bleed include :
·Infection – make sure you take steps to reduce this risk both for you and the casualty.
·Shock – prevent the casualty from going into shock.
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