Major Hemorrhage
Table of Contents
Recognition
Major haemorrhage is bleeding that is heavy, spurting, pooling, soaking through dressings or cannot be controlled quickly. It is a life-threatening priority.
Immediate Actions
| Step | Action |
|---|---|
| 1 | Check danger and use gloves if available |
| 2 | Apply firm direct pressure over the bleeding point |
| 3 | Call 000 or direct someone else to call |
| 4 | Add dressings and maintain pressure |
| 5 | Treat for shock and monitor breathing |
Tourniquets
For severe limb bleeding that direct pressure does not control, apply a tourniquet 5-7 cm above the wound and not over a joint. Tighten until bleeding stops and note the time.
Do not remove a tourniquet once applied. Hand over the time and location to emergency services.
Haemostatic Dressings
Use haemostatic dressing only if trained and the equipment is available. Pack or apply according to training and maintain firm pressure.