How does the ITLS protocol recommend treating major hemorrhage?

The ITLS protocol emphasizes a structured approach to managing major hemorrhage, highlighting the importance of both direct interventions to control bleeding and supportive measures to address fluid loss.

Direct pressure is the first line of defense for controlling external bleeding, as it helps to clot the blood and minimize blood loss. If direct pressure is ineffective, the use of tourniquets may be necessary, particularly in cases of severe limb hemorrhage. Tourniquets can be a lifesaving measure when applied correctly, effectively halting blood flow to an injured area and allowing for more time to transport the patient to definitive care.

Fluid resuscitation also plays a critical role in managing the effects of significant blood loss. By administering intravenous fluids, practitioners aim to maintain circulatory volume, support blood pressure, and ensure adequate perfusion to vital organs. This is especially important during transport to a hospital or surgical facility where more definitive treatment can be provided.

Together, these components form a comprehensive strategy that aligns with the ITLS protocol, addressing both the immediate need to control hemorrhage and the necessity of stabilizing the patient until they receive further care.