now when controlling an arterial bleed you're gonna notice that arterial is indicated more by like a pulsating, brighter red blood. that's harder to stop. if there's no bone fractures we're gonna use really good solid direct pressure. if it starts to leak through, you'll only add more bandage to the top of it, you never take away the bottom, because then it pulls the clots off and you start from scratch again. i still like to go with the elevation as long as there's no bone fracture, spinal cord involvement. that lets gravity work with us, not against us, but direct pressure normally even if its at heart level is usually pretty good.
once the bleeding is under control, the wrapping of the bandage works very similar. you're gonna keep that direct pressure down we're gonna start at the distal end, or the end of the arm and work towards the heart. that way, we're not going to trap blood down in the hand any more than we have to. when you get to the top where the wound is you can put a little twist to the tie, which helps apply a little more pressure. after you've got this tight enough, check for any leak-through bleeding, make sure you check for any capillary refill to make sure you're not having a tourniquet effect with a too tight of bandage.
elevate above the heart. activate ems. watch for a reoccurrence of that arterial bleeding. if it does, add more bandage and more wrapping to create a pressure dressing, and then lets get this patient to the hospital.
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