How to stop bleeding using direct pressure method
Nov 25, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
To control bleeding using direct pressure, follow these steps: assess the bleeding, clean the wound surface, apply continuous pressure, secure the pressure dressing, and monitor the effectiveness of hemostasis. The key to the procedure is accurately applying pressure directly on the bleeding site. If the bleeding is heavy and persistent, or if the wound is deep or accompanied by vascular injury, seek medical attention promptly. Observe the wound location, amount of bleeding, and type of bleeding.
To control bleeding using direct pressure, follow these steps: assess the bleeding, clean the wound surface, apply continuous pressure, secure the compressive dressing, and monitor the hemostatic effect. The key to the procedure is accurately applying pressure directly to the bleeding site. Seek immediate medical attention if the bleeding is heavy and persistent, or if the wound is deep or accompanied by vascular injury.
1. Assess the bleeding: Observe the location, volume, and rate of bleeding, and differentiate between arterial and venous bleeding. Arterial bleeding, characterized by spurting blood, requires firmer pressure; venous bleeding, which oozes slowly, may be managed with moderate pressure.
2. Clean the wound surface: Gently wipe away debris around the wound using clean gauze or sterile dressing. Avoid touching the inside of the wound directly to prevent infection. If no proper cleaning materials are available, use a clean piece of clothing as a temporary substitute.
3. Apply continuous pressure: Use your hand or fingers to firmly press the dressing over the bleeding site. Apply sufficient pressure to stop the bleeding while ensuring distal blood circulation is not compromised. Avoid frequently releasing pressure to check the wound—maintain steady compression for 5–10 minutes.
4. Secure the compressive dressing: Once bleeding has stopped, wrap a bandage or cloth around the wound to hold the dressing in place. The bandage should be snug enough to prevent displacement but loose enough to allow one finger to fit underneath, ensuring continued effective pressure without restricting circulation.
5. Monitor the hemostatic effect: After securing the dressing, observe whether any further oozing occurs. Check the color, temperature, and sensation of the limb distal to the wound. If signs such as bluish discoloration or numbness appear, adjust the tightness of the bandage promptly to avoid tissue damage from excessive pressure.
After hemostasis, keep the wound clean and dry, avoiding contact with water or contaminants. Change the dressing regularly to monitor healing progress. Increase intake of protein and vitamins through diet, avoid strenuous activities that may strain the wound, and promote wound recovery.
