Which action best applies to external bleeding from a sexual assault patient during transport?

• A. Visualize the area and pack with dressings
• B. Let the patient rest and wait for hospital staff
• C. Focus on documentation before treatment
• D. Control external bleeding, provide oxygen, and transport

Answer: (D)

Managing external bleeding in transit centers on three priorities: stop the bleeding, support breathing with oxygen if needed, and get the patient to definitive care quickly. When there’s external bleeding, applying direct pressure with clean dressings or gauze helps form a clot and reduce blood loss. If the patient shows signs of breathing trouble or shock, provide oxygen to improve tissue perfusion. After bleeding is controlled and breathing is stabilized, transport promptly to a facility capable of further treatment and forensic care if needed.

Other options don’t address the life-threatening issue as effectively. Resting and waiting for hospital staff delays essential hemorrhage control. Documenting before treatment can’t take precedence over stopping active bleeding. Simply visualizing the area without actively applying pressure and controlling the bleed leaves the patient at risk.