What should be done first when managing a casualty with severe bleeding?

Managing a casualty with severe bleeding requires immediate and decisive action to prevent further loss of blood and to stabilize the patient. The primary concern in such a situation is to control the bleeding as rapidly as possible. This is because uncontrolled bleeding can lead to shock, organ failure, and ultimately death.

Controlling the bleeding may involve applying direct pressure to the wound, utilizing pressure dressings, or employing tourniquets if necessary. This approach addresses the most life-threatening aspect of the casualty’s condition right away.

While other aspects of casualty management are important, they should be prioritized after bleeding control. Performing CPR is only relevant in cases where the casualty is unresponsive and not breathing, and calling for evacuation or providing emotional support comes secondary to managing severe bleeding. This step of controlling bleeding is considered a critical intervention that can save lives under combat conditions.