Lifesaving Society Standard First Aid (SFA) Practice Exam

For a wound with external bleeding, what is the first step you should take?

Direct pressure Elevate limb only Check distal circulation only after bleeding stops Apply ice directly to wound

Correct Answer:

Direct pressure

Explanation:

Direct pressure on the wound with a clean dressing is the first action to control external bleeding. Pressing firmly compresses the injured vessels and helps form a clot, which stops or slows the bleed. If blood soaks through, don’t remove the initial dressing—add more layers on top and continue applying pressure. Elevating the limb can help but shouldn’t delay applying pressure, and it’s not a substitute for it. Distal circulation should be checked and monitored during care, not waited on until the bleeding stops. Ice directly on the wound isn’t used to stop bleeding and should be avoided on the wound itself; cold is sometimes used later with a barrier if needed, after bleeding is controlled.

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