How should the EMT manage a patient with severe bleeding?

The recommended management for a patient with severe bleeding is to apply direct pressure to the wound and elevate the affected area. This technique is critical because applying direct pressure helps to control bleeding by compressing blood vessels and promoting blood clotting at the site of injury. Elevating the injured area can assist in reducing blood flow to the wound, further aiding in bleeding control. This approach is a key component of first aid and emergency care protocols, as it directly addresses the urgency of the situation by attempting to minimize blood loss and stabilize the patient.

Using an ice pack, while it can help with swelling or pain management, is not effective in managing severe bleeding and can actually complicate the situation by potentially reducing circulation to the area. Keeping the patient lying flat does not specifically address the bleeding and could lead to further complications, especially if the patient is losing significant blood volume. Providing oral fluids is generally contraindicated in cases of severe bleeding because the patient may require surgical intervention, and oral intake could complicate that process due to the risk of aspiration. Thus, controlling the bleeding through direct pressure and elevation is the most effective and appropriate initial action.