What action should be taken if a wound is continuously bleeding after applying one tourniquet?

The appropriate action when a wound is continuously bleeding after the application of one tourniquet is to apply a second tourniquet proximal to the first. This method is effective for several reasons.

Firstly, applying a second tourniquet proximal to the first increases the pressure applied to the limb, which can more effectively occlude blood flow to the injury site. The goal of a tourniquet is to prevent further blood loss, and by positioning the second tourniquet higher up on the limb, it targets the arterial supply that may still be contributing to the hemorrhage.

Additionally, maintaining proper placement of tourniquets is crucial for preventing complications. Applying a second tourniquet at the same level or distal to the initial tourniquet may not exert enough pressure to control the bleeding effectively. Furthermore, removing the first tourniquet could cause a sudden and dangerous increase in blood loss, which is why it's essential to keep it in place while using a second one.

Applying direct pressure alone, after already utilizing a tourniquet, would not be sufficient to control significant arterial bleeding, particularly in a combat or trauma scenario. Therefore, the most effective and safe approach when initial measures do not stop the bleeding is indeed to place a second tourniquet proximal