RT Book, Section A1 Horrall, Shawn A1 Wheatley, Jonathan A2 Stone, C. Keith A2 Humphries, Roger L. A2 Drigalla, Dorian A2 Stephan, Maria SR Print(0) ID 1176575434 T1 Soft Tissue Injuries & Wound Care T2 CURRENT Diagnosis & Treatment: Pediatric Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071799454 LK accesspediatrics.mhmedical.com/content.aspx?aid=1176575434 RD 2024/03/29 AB Hemorrhaging wounds can easily divert attention from more important considerations in the trauma patient. It is unlikely that a bleeding wound will alter the immediate outcome of a trauma patient; however, unverified and compromised airway, breathing, and systemic circulation (ABCs of trauma) most certainly will. Although major wounds require prompt attention of the resuscitation team in evaluation of the patient, the ABCs must be addressed first. Only after the primary survey has been conducted should proper hemostasis be applied and wounds managed appropriately. Primary methods for hemostasis by the emergency physician include direct pressure, tourniquets, epinephrine-containing anesthetics, and suture ligation.