Management of life threatening bleeding

Bleeding should be managed as severe, life-threatening bleeding in the following situations:

• Amputated or partially amputated limb above wrist or ankle.
• Shark attack, propeller cuts or similar major trauma to any part of the body.
• Bleeding not controlled by local pressure.
• Bleeding with signs of shock, i.e., pale and sweaty plus pulse rate >100, or capillary refill > 2 sec and/or decreased level of consciousness.