What is the first action to control life-threatening external bleeding on the battlefield?

• A. Elevate the limb and wait
• B. Apply direct pressure to the bleeding site
• C. Apply a tourniquet immediately
• D. Apply a hemostatic dressing only

Answer: (B)

Direct pressure on the wound is the first action because it immediately uses physical force to compress the injured vessels and kick-start clot formation, quickly reducing blood loss. It’s fast, requires no equipment, and works for most external bleeds. On the battlefield, you apply firm pressure with a clean dressing or your gloved hand, maintain that pressure, and only move to other methods if the bleeding continues despite it. Elevation can help but should not delay applying direct pressure. If bleeding persists after applying direct pressure, escalate to additional measures like a tourniquet for limb bleeds or a hemostatic dressing as needed.