Stop The Bleed

Stop The Bleed: Emergency Response Plan

If emergency treatment is not needed, bleeding can usually be stopped by applying steady, direct pressure and elevating the wound. The following steps will protect the skin wound and protect you from exposure to another person’s blood.

Before you try to stop the bleeding:

1. Wash your hands well with soap and water, if available.
2. Put on medical gloves, if available, before applying direct pressure to the wound. If gloves are not available, use many layers of clean cloth, plastic bags, or the cleanest material available between your hands and the wound.
3. Have the injured person hold direct pressure on the wound, if possible, and elevate the injured area.
4. Use your bare hands to apply direct pressure only as a last resort.

To stop the bleeding:

1. Have the injured person lie down and elevate the site that is bleeding.
2. Remove any visible objects in the wound that are easy to remove. Control the bleeding before trying to clean the wound.
3. Remove or cut clothing from around the wound. Remove any jewelry from the general area of the wound so if the area swells, the jewelry will not affect blood flow.
4. Expose the area to find where the bleeding is coming from and apply firm, steady pressure to the bleeding site with both hands if possible. 
5. Apply dressing and press with firm steady pressure to the bleeding site with bandages or clothing. 
6. If the bleeding doesn’t stop, place a tourniquet 2-3 inches closer to the torso from the bleeding. The tourniquet may be applied and secured over clothing.
7. Do all you can to keep the wound clean and avoid further injury to the area.

Mild bleeding usually stops on its own or slows to an ooze or tickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes.

Occasionally a puncture wound causes bleeding underneath the skin, but only a small amount of blood comes out of the wound. When this happens, the area around the puncture wound may become swollen and bruised. If the bleeding causes blood to collect in the wound site (wound hematoma), the risk of an infection increases.

While following the steps to stop the bleeding, watch for signs of shock in the injured person, including: 

• Passing out (losing consciousness).
• Feeling very dizzy or light-headed, like the person may pass out.
• Feeling very weak or having trouble standing up.
• Being less alert. The person may suddenly be unable to respond to questions, or they may be confused, restless, or fearful.