Which of the hemostatic methods cannot be applied as the first choice

Generally speaking, there is no clinical hemostasis method which cannot be applied as the first choice, but there are different hemostatic methods for different situations. The commonly used clinical hemostatic methods are finger pressure hemostasis, pressure bandage hemostasis, tamponade hemostasis and tourniquet hemostasis. 1. finger pressure hemostasis: it refers to the use of fingers to compress the arterial vessels near the heart of the bleeding site on the bones to occlude the blood vessels and cause temporary interruption of blood flow, so as to achieve the purpose of hemostasis, which is applicable to the temporary hemostasis of bleeding in the head, neck and large arteries of the extremities. 2. pressure bandage hemostasis. It refers to covering the wound with sterile auxiliary material and then wrapping with triangular towel and bandage, which is applicable to small arteries, small veins and capillary bleeding. If there are broken bone fragments in the wound, it is recommended that after the debridement treatment, and then pressure bandage hemostasis, so as to avoid the presence of foreign bodies in the wound and aggravate the injury; 3, stuffing hemostasis method: stuffing hemostasis refers to the use of sterile cotton pads, gauze and other tightly filled in the wound, and then bandages or triangular towel pressure bandage hemostasis, often applied to the wound more limited bleeding, such as the shoulder, armpit, neck and buttocks, etc., the wound is larger and deep If the wound is large and deep, this method can also be used when acupressure to stop bleeding is not effective. In addition, it should be noted that the bleeding in the nose, ear and eye caused by cranial trauma, it is not recommended to use the filling hemostasis method; 4, tourniquet hemostasis method: is a tourniquet bundled on the artery around the wound to slow down the arterial blood flow and hemostasis, tourniquet hemostasis method is a rapid hemostasis method, this hemostasis method is more solid and reliable, but it is only applicable to the bleeding of the large arteries of the extremities that cannot be stopped by pressure hemostasis method. When it is necessary to stop bleeding with hemostatic methods, it is necessary to choose suitable hemostatic methods according to different parts and symptoms, and it is necessary to pay attention to observe complications after hemostasis to avoid the occurrence of ischemic necrosis.