What is the first step in treating a severe bleeding wound?

Applying direct pressure to the wound is recognized as the first step in treating a severe bleeding wound because it is the most immediate and effective method to control hemorrhage. Direct pressure helps to compress the blood vessels and assists in clot formation at the site of the injury, which is vital for stopping the bleeding.

This method should be applied without delay, using a clean cloth or dressing, and can be maintained with additional pressure as needed. It is essential for combat medics and first responders to prioritize this step to stabilize the patient before considering more advanced interventions, such as applying a tourniquet if direct pressure does not achieve hemostasis.

While other options like cleaning the wound or administering antibiotics are important in wound management, they are secondary to the immediate need to control life-threatening bleeding through the application of direct pressure.