A 9-year-old female has a large laceration to her left calf. She is anxious, and the laceration continues to bleed despite your initial treatments. What should you do?

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Multiple Choice

A 9-year-old female has a large laceration to her left calf. She is anxious, and the laceration continues to bleed despite your initial treatments. What should you do?

When a significant limb bleed persists after initial measures, the next step is to stop arterial inflow with a tourniquet. Place it high enough on the leg, proximal to the wound and away from joints, and tighten until the bleeding slows or stops. Secure it and note the time of application. Elevating the limb helps only as a supplement and doesn’t reliably control a large ongoing hemorrhage. A tourniquet provides definitive control of the bleeding; hemostatic agents can aid but don’t replace the need to stop the flow. After applying the tourniquet, reassess distal sensation and pulses as you arrange rapid transport.

When a significant limb bleed persists after initial measures, the next step is to stop arterial inflow with a tourniquet. Place it high enough on the leg, proximal to the wound and away from joints, and tighten until the bleeding slows or stops. Secure it and note the time of application. Elevating the limb helps only as a supplement and doesn’t reliably control a large ongoing hemorrhage. A tourniquet provides definitive control of the bleeding; hemostatic agents can aid but don’t replace the need to stop the flow. After applying the tourniquet, reassess distal sensation and pulses as you arrange rapid transport.

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