What is applied when direct pressure doesn’t control severe external bleeding?

When direct pressure fails to control severe external bleeding, the correct intervention is the application of a tourniquet. A tourniquet is specifically designed to constrict blood flow to the extremities, effectively controlling heavy bleeding when other methods, like direct pressure or dressing, are insufficient.

In cases of severe injury, especially those involving limbs, the tourniquet applies significant pressure around the affected area, limiting blood circulation and reducing the risk of life-threatening blood loss. This method is particularly useful in emergency situations when time is critical, and the risk of shock or death due to hemorrhage is high.

While a pressure dressing can help in many situations by applying steady pressure over a wound, it may not be effective for severe bleeding that requires the more robust intervention that a tourniquet provides. Cold compresses and ice packs are generally used to manage swelling and pain, but they do not address the underlying issue of severe bleeding. Thus, in the context of urgent care for severe bleeding, the tourniquet is the most effective and appropriate choice.