Which of the following is a last-resort measure in bleeding control?

• A. Elevate
• B. Apply ice
• C. Direct pressure
• D. Tourniquet

Answer: (D)

A tourniquet is used as a last-resort measure in bleeding control because it provides rapid, decisive stopping of bleeding when direct pressure cannot control life-threatening hemorrhage from a limb. The usual approach starts with direct pressure to the wound, which stops many bleeds by compressing the vessels. Elevating the limb can help reduce blood flow, but it won’t reliably stop severe bleeding on its own. A tourniquet, applied above the wound to cut off blood flow to the entire limb, is a powerful intervention that can save a life when other methods fail. It carries risks—tissue damage and nerve injury if left on too long—so it’s reserved for when necessary and when you can’t quickly control the bleed with simpler measures. Ice doesn’t reliably stop active bleeding and isn’t used for hemostasis, so it’s not a primary or last-resort method. After applying a tourniquet, seek medical care promptly and note the time of application.