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Case by case, I've had both patients in severe pain with a tourniquet, others that just felt the extremity go numb... Yes, if the patient is in legitimate severe pain, keep the medics coming, assuming they are closer to u than u are to the hospital.

Enough with the sarcasm. Someone new posted a serious question and is probably looking for serious input. Yes, direct pressure is first thing to do. While holding direct pressure it does not hurt to elevate the extremity. Of your local protocol allows, you can also use a hemostatic agent (like...

The vacuum mattress is a great option and is far superior in providing effective SMR than any other device currently in use. However most agencies are not willing to use them due to cost and durability issues.