Emergency Medical Technician (EMT) Intermediate Practice Exam

What is the LEAST desirable method of bleeding control in the prehospital setting?

1. Applying direct pressure

2. Using a tourniquet

3. Clamping a bleeding artery with hemostats

4. Elevation of the affected area

The correct answer is: Clamping a bleeding artery with hemostats

Clamping a bleeding artery with hemostats is considered the least desirable method of bleeding control in the prehospital setting for several reasons. First, the use of hemostats requires advanced training and is typically performed in a controlled environment, such as a surgical setting. EMTs and first responders often operate in dynamic and unpredictable environments where quick, effective interventions are crucial. There may not be time to locate and properly clamp a specific artery, especially in cases of severe hemorrhage. Moreover, trying to use hemostats can lead to complications, such as causing additional tissue damage, delaying transport, or causing delays in more effective methods of hemorrhage control, such as using direct pressure or a tourniquet. These alternatives are generally more effective and safer for immediate management of bleeding. In contrast, applying direct pressure is a fundamental and immediate technique that can effectively control bleeding in many situations. Elevation of the affected area and the application of tourniquets are also established methods that can be utilized effectively where needed, aiding in the control of bleeding while maintaining patient stability.