A patient presents with a deep 6-cm laceration on the cheek from an assault, which is bleeding profusely. The initial application of direct pressure has not controlled the hemorrhage. Which of the following is the MOST appropriate next action?
Prepare the patient for immediate transfer to the operating room.
Apply a topical hemostatic agent and reinforce direct pressure.
Apply a tourniquet loosely around the patient's neck.
Attempt to clamp the bleeding vessel with a hemostat.
The most appropriate next action is to apply a topical hemostatic agent and continue to hold firm, direct pressure. Tourniquets are contraindicated for facial and neck injuries. While clamping a vessel may be necessary, it is typically performed by a provider under direct visualization to avoid nerve damage and is not the immediate nursing action. While the patient may ultimately require surgical repair, applying a hemostatic agent is the next step in attempting to control hemorrhage at the bedside.
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BCEN CEN
Musculoskeletal and Wound Emergencies
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