What is the first action when encountering severe external bleeding?

• A. Administer oxygen
• B. Check for a pulse
• C. Open the airway
• D. Control the bleeding

Answer: (C)

Controlling the bleeding is the first action. Severe external bleeding is life-threatening because ongoing blood loss can lead to shock and death, so stopping the bleed takes priority over other steps. To do this, press directly on the wound with a clean dressing or your gloved hand, applying firm, steady pressure. If blood soaks through, don’t remove the dressing; add more layers and keep applying pressure. If possible, elevate the injured limb to help reduce bleeding, and once the bleeding is under control, you can assess other needs like breathing and circulation. Oxygen and airway management are important, but they don’t address the immediate danger of heavy bleeding, which is why bleeding control comes first.