What procedure should always be performed prior to transport?

Controlling major external bleeding is a critical procedure that should always be performed prior to transport in any emergency medical situation. This is because uncontrolled bleeding can lead to hypovolemic shock, which is a life-threatening condition. If major external bleeding is not addressed, the patient's condition can rapidly deteriorate, potentially resulting in severe complications or even death during transport.

By controlling major bleeding, you stabilize the patient's circulatory system, help maintain adequate blood flow to vital organs, and improve the chances of survival. This step often involves direct pressure, elevation of the affected area, using pressure bandages, or, in some cases, applying tourniquets.

While splinting fractures, performing a secondary survey, and assessing vital signs are all essential procedures in patient care, they can and should often be performed in conjunction with or after addressing any major bleeding concerns to ensure the patient's immediate safety and stability during transport.