Internal bleeding in a limb can be controlled somewhat by applying pressure and a splint to the limb.

Initiate an intravenous infusion if signs and symptoms of shock are present and evacuate the casualty. If possible, administer oxygen (high percentage) to the casualty during evacuation.

a. Pressure.

Apply pressure to the injured limb (paragraphs 2-34 and 2-35).

CAUTION: The pressure should decrease internal bleeding, but should not stop blood circulation. Check circulation in the limb after applying the pressure device.

b. Immobilization.

Keep the casualty as still as possible. Immobilize (splint) the limb even if it does not appear to be fractured. A splint will apply pressure and help protect the limb from further injury.