What is the initial step in treating a hemorrhage?

• A. Apply pressure.
• B. Place a hemostatic sponge in the socket.
• C. Stitches.
• D. Rinse with water.

Answer: (A)

When a hemorrhage begins, the first priority is to stop the bleeding with direct mechanical pressure. Using a folded sterile gauze pad, press firmly on the bleeding site and maintain that pressure for several minutes. This helps the blood to clot by squeezing vessels and giving the body time to form a stable clot. If the gauze becomes soaked, replace it with a fresh pad rather than lifting off the pressure, to avoid dislodging any clot that's forming.

Rinsing with water or placing a hemostatic sponge, suturing, or other measures are helpful if bleeding continues after pressure or if the tissue requires closure, but they are not the initial step. Rinsing can disturb a forming clot, so it’s not done first.