[quote=paramedicpete If direct pressure, elevation and pressure points do not control bleeding very quickly, the advice is to apply a tourniquet early in the process.
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This was what I was taught, and what I implemented, back in the mid-70s. Direct pressure always worked. This included an arm amputation at the shoulder cause by walking in to the rear rotor of a helicopter. I think we were fortunate there as there wasn't much of a site for the T.

I have always been ready to apply a T if bleeding persisted, but so far it hasn't.....

"The more things change, the more they remain the same."