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⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.

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EM-004

Severe bleeding

Severe uncontrolled bleeding is an emergency — control bleeding and obtain assistance.

What should I do first?

  • Ensure scene safety and obtain appropriate help immediately
  • Apply firm direct pressure to the bleeding site with available clean dressings or cloth
  • Use available bleeding-control equipment according to your training and vessel procedures
  • Escalate to additional bleeding-control measures only where appropriate and within your competence
  • Monitor for deterioration or signs of circulatory collapse
  • Seek professional medical assistance without delay

What this may look like

  • Blood flowing heavily and not stopping with simple measures
  • Clothing or bandages becoming soaked quickly
  • Signs of serious blood loss such as pallor, weakness, or altered responsiveness

What should I check?

  • Source and severity of bleeding
  • Responsiveness and breathing
  • Signs of worsening condition or shock
  • What bleeding-control resources are available onboard

What should I avoid?

  • Removing embedded objects unless directed by medical assistance
  • Delaying help while searching for perfect equipment
  • Using advanced bleeding-control techniques beyond your training

When should I get medical assistance?

  • Immediately for severe or uncontrolled bleeding
  • Contact your vessel's designated medical assistance/TMAS service according to vessel procedures
  • Follow your vessel's emergency procedures

What information should I prepare for TMAS / medical assistance?

  • Location and mechanism of injury if known
  • Estimated severity and actions taken to control bleeding
  • Person's current responsiveness and overall condition
  • Vessel position and communications details required by procedure

Related symptoms

Related topics

Related equipment

Important safety note

  • Device-specific or advanced tourniquet protocols are not covered here
  • Follow vessel procedures and trained bleeding-control guidance

⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.