1. ENSURE SCENE SAFETY: Before rendering any aid, confirm the scene is safe to approach. Do not expose yourself or the casualty to additional threat while initiating treatment.

2. CONTROL MASSIVE HEMORRHAGE: Identify catastrophic bleeding from any limb immediately. Apply the Quick-Tight Windlass Tourniquet high and tight on the affected extremity, tighten the windlass rod until all bleeding stops completely, and record the exact time of application.

3. PACK JUNCTIONAL AND DEEP WOUNDS: For severe bleeding in the groin, armpit, neck, or deep lacerations where a tourniquet cannot be placed, firmly pack the wound cavity with NuStat Hemostatic Gauze. Apply direct, heavy pressure continuously for a minimum of 3 minutes using the BleedStop Bandage or an abdominal pad to maintain occlusion.

4. SEAL OPEN CHEST WOUNDS: For any penetrating injury to the torso, use BZK antiseptic wipes to clear blood and debris from the skin surface around the wound. Place the Vented Chest Seal directly over the wound site to create an airtight occlusive seal, preventing the development of a tension pneumothorax.

5. ASSESS AIRWAY AND RESPIRATION: After all major bleeding has been controlled, assess the casualty's airway for obstruction and confirm adequate breathing. If rescue breathing is required, deploy the CPR face shield as a barrier before administering ventilations.

6. DRESS REMAINING WOUNDS: Use sponge gauze, conforming gauze roll, and the elastic self-adhesive bandage to dress and secure any additional injuries not yet treated. Apply sufficient pressure to control minor bleeding and stabilize all dressings.

7. PREVENT HYPOTHERMIA: Keep the casualty warm using available insulation or covering. Hypothermia significantly worsens bleeding and shock, making thermal management a direct component of hemorrhage control protocol until professional medical response arrives.

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