Severe Bleeding

How to control major blood loss

🩸 When is Bleeding Severe?

  • Blood is spurting out (arterial bleeding)
  • Blood won't stop with normal pressure
  • Blood is soaking through bandages
  • Large amount of blood loss
  • Person is becoming pale, cold, or confused
  • Deep wound or wound with something stuck in it

🚨 What to Do — Stop the Bleeding

  1. Call 999 (or get someone else to while you apply pressure)
  2. Apply direct pressure — press firmly on the wound with a clean cloth, clothing, or your hand
  3. Keep pressing — don't lift to check, maintain constant pressure
  4. If possible, raise the injury — above the level of the heart
  5. If blood soaks through — add more material on top, don't remove the first layer
  6. Keep them warm and calm — cover with coat or blanket

Press Hard, Call Fast

Severe bleeding can be life-threatening. Apply pressure and get help immediately.

📞 Call 999

✅ DO

  • Press firmly and keep pressing
  • Use any clean material available
  • Lie them down if possible
  • Raise injured limb if you can
  • Keep them warm
  • Reassure them and stay calm

❌ DON'T

  • Don't remove dressings — add on top
  • Don't apply a tourniquet unless trained
  • Don't remove objects stuck in wounds
  • Don't give food or drink
  • Don't move them unnecessarily

⚠️ Object Stuck in the Wound?

  • Don't remove it — it may be plugging the wound
  • Apply pressure around the object, not on it
  • Build up padding around the object
  • Bandage around it to hold padding in place
  • Keep it still and get emergency help

😰 Signs of Blood Loss (Shock)

Major blood loss can cause shock. Watch for:

  • Pale, cold, clammy skin
  • Fast, weak pulse
  • Fast, shallow breathing
  • Confusion or anxiety
  • Feeling faint or dizzy
  • Becoming unresponsive

If you see these signs: Lie them down with legs raised (unless injury prevents this), keep them warm, and wait for ambulance.

🩹 What About Tourniquets?

Tourniquets can save lives but can also cause harm if used incorrectly.

  • Only use if trained and direct pressure has failed
  • Only for limb injuries where bleeding cannot be controlled
  • Note the time it was applied
  • The 999 operator may guide you

📥 Download the Severe Bleeding Guide

Severe bleeding first aid infographic
📥 Download Full Infographic (PNG)