My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
direct pressure. It’s your first defense against any type of bleed that you need to control.
First thing you want to do is you want to take a gloved hand and immediately cover the
wound. When you are doing this you are pressing very firmly in hopes of stopping the blood
flow. What you are doing by putting the gloved hand on it this is just a temporary solution
until another person can come and actually bring you something to help start absorb some
of the blood. It normally takes anywhere from six to eight minutes for the blood to start
to form a clot. This time obviously varies to less time if the cut is very small and
it can be a lot longer if the cut is severe. Once you have the direct pressure what you
want to do is some how have someone to hand you some sort of this is called a dressing.
Different than a bandage a dressing covers a wound a bandage will hold in place. You
are now holding down direct pressure. If this doesn’t work what you want to do is elevate
the extremity. Once you have it elevated above the heart this is going to slow down blood
flow strictly by gravity. If that doesn’t work while still maintaining elevation and
direct pressure you then need to have someone come up and do a pressure point to cut off
the arteries blood flow to the limb or you can tie a dressing around this to hold pressure
while you do the artery. These also come in things such as sterile dressings. What this
is it’s the exact same thing but it comes in a sterile dressing where this is completely
sterile. This can go over a fracture site where the bone needs to be covered and protected.
And they come in various sizes. This is a four by four which works for most small cuts
and they come anywhere up to a size of an eight by ten and even large trauma sheets
which are about the size of a normal sheet for a twin size bed.