What is the first step in responding to a bleeding from an extremity?

The first step in responding to bleeding from an extremity is to apply direct pressure to the wound. Direct pressure helps to control the bleeding by promoting blood clotting at the site of injury. When pressure is applied, it compresses the blood vessels and reduces the flow of blood, which is critical in minimizing blood loss.

Applying direct pressure is simple and effective, making it a primary action that should be taken in most cases of minor to moderate bleeding. If blood soaks through the initial dressing, additional layers should be applied without removing the first one, as maintaining pressure on the wound is essential.

While options such as applying a tourniquet, elevating the limb, and cleaning the wound can be relevant in specific situations, they should not be the initial steps in managing active bleeding. A tourniquet is reserved for severe, life-threatening hemorrhage that cannot be controlled by direct pressure alone. Elevating the limb can aid in reducing blood flow but is not as immediately effective as direct pressure. Cleaning the wound should only be done after bleeding is controlled to prevent further contamination and complications.