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. 2023 Nov 20;95(6):e54–e60. doi: 10.1097/TA.0000000000004134

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Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Surgery of Trauma.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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Illustrations of life threatening bleeding, clockwise from top left. (1) Pulsatile or steady bleeding from the limb wound. (2) Blood is pooling on the ground. (3) The overlying clothes are soaked in blood. (4) Bandages or makeshift bandages used to cover the wound are ineffective and steadily becoming soaked with blood. (5) Traumatic extremity amputation. (6) There was prior extremity bleeding and the patient is now in shock (unconscious, confused, pale). Reproduced with permission from the from the American College of Surgeons STOP THE BLEED® program.