In an amputation injury, which steps should be taken?

• A. Remove clothing and expose wound
• B. Confirm bleeding controlled; Wrap open areas with sterile gauze or clean, dry cloth; Secure dressing with bandages, extending 4 in above the amputation
• C. Delay dressing until arrival
• D. Apply direct pressure only

Answer: (B)

Controlling bleeding and protecting the wound with a secure dressing is the immediate priority after an amputation injury. The best approach is to verify that bleeding is under control, then cover the exposed areas with sterile gauze or a clean, dry cloth, and finally secure a dressing with bandages, extending about four inches above the amputation to keep the dressing in place and apply consistent pressure. This sequence minimizes blood loss, reduces contamination, and stabilizes the tissues for transport. Delaying dressing, relying on direct pressure alone, or leaving the wound exposed without a proper dressing misses critical steps needed to protect the patient and control bleeding.