When are hemostatic dressings indicated?

• A. For minor wounds only
• B. For junctional or severe limb hemorrhage where direct pressure alone is insufficient
• C. For all wounds regardless of severity
• D. Never use hemostatic dressings

Answer: (B)

Hemostatic dressings are used when external bleeding cannot be controlled with direct pressure alone, providing hemostatic agents at the wound to speed clot formation. They’re especially indicated for junctional areas (where a tourniquet is hard to apply or ineffective) or for severe limb hemorrhage where pressure by itself doesn’t stop the bleed. This reflects their role as an adjunct to direct pressure, not as a universal remedy or for minor wounds. In practice, apply the dressing directly to the wound, maintain firm pressure (often with packing as needed), and continue until bleeding slows or stops, then secure the area and monitor for signs of ongoing hemorrhage or shock.