Tactical Paramedic Certification (TP-C) Practice Exam

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What is the first line of treatment for massive hemorrhage?

Direct pressure

Massive hemorrhage management focuses on immediate actions to control bleeding and prevent shock. The first line of treatment for massive hemorrhage often involves applying a tourniquet, especially in cases of catastrophic limb injuries where bleeding is severe and life-threatening.

Tourniquets are designed to occlude blood flow externally to a limb, effectively reducing blood loss and allowing for the body’s vital functions to stabilize until further medical treatment can be administered. They are practical in tactical scenarios where time is of the essence, and rapid intervention can make a significant difference in patient outcomes.

Though direct pressure is always a fundamental technique for controlling bleeding, it may not be effective in severe situations where arteries are involved, or the injury is extensive. Wound packing is also a critical intervention but typically follows the application of a tourniquet when direct pressure is insufficient. Observation and transport are not suitable as a first response in cases of massive hemorrhage, as immediate action is necessary to prevent life-threatening consequences.

In summary, tourniquets are recognized best practices for managing massive bleeding quickly and efficiently, particularly in high-stress environments where trauma is common.

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Tourniquets

Wound packing

Observation and transport

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