What is the first action to take in managing major bleeding?

In managing major bleeding, the first action should be to apply direct pressure to the wound. This immediate response is crucial because it helps to control blood loss by applying firm pressure directly onto the bleeding site. Direct pressure promotes clot formation and minimizes the volume of blood that escapes from the body, which is essential in stabilizing the individual until further medical assistance can be provided.

While calling for help and managing the situation is also important, those actions typically follow the initial measures to control the bleeding. Removing stained bandages may also be necessary at some point, but it should not take precedence over applying direct pressure. Indirect pressure is generally used for certain types of bleeding or when direct pressure is not effective; therefore, it is not the immediate step in managing major bleeding.