Free BCEN Certified Emergency Nurse (CEN) Practice Question

Direct pressure is the first and most crucial step in managing uncontrolled external hemorrhage. It is a simple yet effective technique that can be applied immediately to slow or stop bleeding. This method involves applying firm, continuous pressure directly on the wound using a clean cloth, gauze, or even your hand if necessary. Direct pressure works by compressing the bleeding vessels, allowing clots to form and reducing blood flow. It's important to note that while other methods like elevation or pressure points may be used in conjunction, direct pressure should always be the initial approach. Tourniquets are typically reserved for life-threatening limb hemorrhages that don't respond to direct pressure, and wound packing is usually a secondary step for deep wounds.