What is Massive Bleeding
Massive bleeding refers to severe, uncontrolled blood loss that can quickly lead to shock and death if not treated immediately. It often occurs due to major trauma, deep cuts, gunshot wounds, or severe accidents.
 

Signs and symptoms

• Large volume of blood flowing or spurting from a wound

• Blood soaking through clothing or bandages rapidly

• Visible deep wound or amputation

• Victim becoming pale, cold, weak, or losing consciousness

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What to do

Step 1: Ensure your safety

• Wear gloves if available to protect yourself

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Step 2: Call for emergency services

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Step 3: Expose the wound

• Remove or cut away clothing covering the wound
   

Step 4: Apply direct pressure

• Use a clean cloth, dressing, or even your hand if nothing else is available

• Press firmly directly on the wound

• Maintain pressure without lifting to check
   

Step 5: Use a tourniquet if direct pressure fails or if bleeding is from a limb and life-threatening

• Place the tourniquet 5–7 cm above the wound but not over a joint

• Tighten until bleeding stops

• Note the time it was applied and inform medical responders (can write it on the arm of casualty)

When NOT to use a Tourniquet:

• Bleeding is minor or moderate and can be controlled by direct pressure

• The wound is on the head, neck, or torso

What not to do:

• Do not remove dressings once applied

• Do not give food or drink

• Do not use makeshift tourniquets unless absolutely necessary and trained

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Step 6: Monitor vitals and manage shock

 

 

 

 

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Prevention and Preparation

• Use protective equipment during high-risk activities

• Keep a first aid kit with trauma dressings and a commercial tourniquet

• Learn and practice bleeding control skills