Before packing a wound, where should you start placing the gauze?

Starting at the base of the injury when packing a wound is crucial for several reasons. The base is where the wound is deepest, and placing gauze there first allows for effective absorption of any fluids and blood, minimizing the potential for further bleeding or infection. This technique also helps ensure that the gauze is in contact with the tissue that needs it most, promoting better healing conditions. By securing the base first, you can then layer the gauze upwards, effectively covering the entire wound while maintaining compression and preventing debris from entering.

The alternative starting points would not provide the same level of effectiveness. For example, starting at the edge of the wound could leave the center or base exposed, which is critical for packing. Likewise, starting from the center may not adequately support the surrounding tissue or manage exudate effectively. Starting at the top may also overlook the importance of addressing the deeper areas of the wound first. Thus, beginning at the base is the most rational and effective approach for wound packing in a tactical medical scenario.