What should be the first step when managing a bleeding wound?

Applying direct pressure is the first critical step in managing a bleeding wound. This technique helps to stem the flow of blood from the site of injury by compressing the injured area. Direct pressure is crucial because it acts to facilitate clotting by encouraging platelets and clotting factors in the blood to aggregate at the wound site.

This method can effectively control bleeding in most cases and should be initiated as soon as possible. It is important to maintain pressure for several minutes, even if it seems that the bleeding has stopped, as it may take time for the body's natural clotting mechanism to take effect.

Other methods such as applying a tourniquet or elevating the limb may come into play depending on the severity and location of the wound, especially in severe hemorrhage scenarios or when direct pressure isn't effective. However, these techniques should typically follow the application of direct pressure, making it the first action in wound management.