What should be the first step when you encounter a patient with severe bleeding?

The first step when encountering a patient with severe bleeding is to apply direct pressure to the wound. This is fundamental in managing hemorrhage, as it helps to stem the loss of blood, which is critical for preventing shock and further complications. By directly applying pressure, you create a physical barrier that minimizes blood flow from the wound, allowing for the body's natural clotting mechanisms to function more effectively.

Immediate control of bleeding is vital because severe blood loss can quickly lead to life-threatening conditions. While other interventions, such as administering IV fluids or calling for assistance, are important, they come after ensuring that the initial bleeding is being controlled. Positioning the patient upright may not be advisable, especially in cases of severe bleeding, as this can exacerbate blood loss or lead to shock. Therefore, the priority must always be to manage and control the hemorrhage directly.