b'Chapter hapterHow to ManageQuickly check the wound and ensure there is no embedded foreign object.If bleeding is minor, thoroughly clean the wound with warm soapy water or antisepticsolution.Apply a clean preferably non-adherent dressing directly over the wound.If bleeding is severe, apply firm pressure directly over the wound usinga clean pad and secure with tape or a roller bandage.If bleeding continues, remove the bandage, leaving the pad in place and apply another padon top of the first. If bleeding continues through the second pad, carefully remove the second pad and replace it with a new one. Re-bandage firmly. Do not remove the first pad as this may remove any clotting blood and increase bleeding. If major bleeding continues, it may be necessary to remove the initial pad to identify the precise bleeding point so it can be controlled by direct pressure.Elevate if the wound is on a limb.Lay the patient down on a blanket, if possible, to help improve blood supply to the vital organsand minimise shock.Call Ambulance 000.Keep the patient covered, warm and reassured.Do not give the patient anything to eat or drink as surgery may be required in which case it isimportant to reduce the risk of vomiting underanaesthesia.You may moisten the lips as the patient may be complaining of thirst.The type of knot and the attractiveness of the bandaging are less important than the purpose of applying the bandaging when treating the patient with a severe bleeding injury.In an emergency, the ability to improvise is a real advantage. Bleeding 75'