What is the preferred method for controlling severe hemorrhage in Tactical Field Care?

The preferred method for controlling severe hemorrhage in Tactical Field Care is applying a tourniquet above the site of bleeding. This method is effective because a tourniquet can quickly occlude blood flow to a severely bleeding limb, significantly reducing the risk of fatal blood loss.

In the context of Tactical Combat Casualty Care (TCCC), speed and efficacy are critical. When a casualty has life-threatening extremity hemorrhage, applying a tourniquet is a rapid intervention that can be implemented even under challenging circumstances, such as hostile environments. It is also important to apply a tourniquet properly and at the appropriate location to ensure effective control of the hemorrhage.

While direct pressure can be effective for minor wounds, it may not be sufficient in cases of severe hemorrhage where arterial bleeding is present. Applying ice to the wound is not a standard practice for controlling hemorrhage and may delay more effective treatments. Utilizing hemostatic gauze is another beneficial method for controlling bleeding, particularly in deeper wounds, but it generally requires more time to apply than a tourniquet and isn’t the first-line treatment for severe extremity hemorrhage.

Therefore, using a tourniquet is the most reliable and immediate way to manage severe bleeding in a tactical scenario.