The first step in controlling severe bleeding is

• A. Elevate Limb
• B. Apply a Tourniquet
• C. Direct Pressure
• D. Call for Help

Answer: (C)

Direct pressure on the wound is the first step because it directly compresses the injured vessels and promotes clotting to stop the bleed. Start with clean gauze or cloth and press firmly over the wound, maintaining that pressure to tamponade the opening. If blood soaks through, don’t remove the dressing—add more material on top and keep applying pressure until bleeding slows or stops. Elevating the limb can help reduce blood flow, but it should support the pressure rather than replace it. A tourniquet is used only if direct pressure cannot control the bleeding and the situation is life-threatening. In parallel, call for help so professional care is on the way while you apply pressure.