In bleeding control, what is the correct sequence of steps?

• A. Elevate, direct pressure, tourniquet last
• B. Direct pressure, tourniquet last, elevate
• C. Direct pressure, elevate, tourniquet last
• D. Direct pressure only

Answer: (C)

When you’re controlling bleeding, start by applying direct pressure to the wound. This immediate action helps form a clot and stops the flow right at the source. If the bleeding doesn’t slow enough with direct pressure alone, raise the injured limb to reduce blood flow to the area, which can help slow or control further bleeding. Only after you’ve tried pressure and elevation should you consider using a tourniquet, and do so as a last resort when the bleeding is life-threatening and cannot be controlled by pressure and elevation alone.

So the best sequence is direct pressure first, then elevate, with the tourniquet saved for last. This order prevents delays in stopping the bleed and uses the tourniquet only when necessary, reducing the risk of tissue damage from premature or unnecessary use. Direct pressure only might be insufficient for serious bleeding, and elevating before applying pressure can delay immediate control of hemorrhage.