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Hemorrhage Control Decision Aid (Wound Packing vs. Tourniquet)
Active Hemorrhage Control
Select Injury Site
Choose the location of the bleeding to see the evidence-based control method.
Guidelines & Evidence
Verified
Last Review: 2026
When to Use
The Hemorrhage Control Decision Aid is used during the primary survey of a trauma patient to rapidly categorize bleeding and deploy the most effective control measure. It prioritizes "Damage Control" principles—stopping the bleed and limiting the "Lethal Triad" (acidosis, coagulopathy, hypothermia) over definitive anatomical reconstruction.
Zone
Primary Intervention
Secondary Intervention
Extremity
Tourniquet / Direct Pressure
Wound Packing / Pressure Dressing
Junctional (Groin/Axilla)
Junctional Tourniquet
Wound Packing with Hemostatic Gauze
Abdominal (NCTH)
Damage Control Laparotomy
REBOA (Zone I)
Pelvic
Pelvic Binder
REBOA (Zone III) / Preperitoneal Packing
Thoracic
Tube Thoracostomy / Thoracotomy
Hilar Twist / Pringle-like maneuvers
Related Scores in Practice
In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the ABC Score For Massive Transfusion, Shock Index, or the REBOA Indications to formulate a comprehensive care plan.