What is the recommended method for controlling severe hemorrhaging in the care under fire phase?

The recommended method for controlling severe hemorrhaging in the care under fire phase is to apply a tourniquet. This approach is crucial because during this initial phase of care, the priority is to stop life-threatening bleeding as quickly as possible. Tourniquets are effective in preventing further blood loss, particularly when dealing with extremity hemorrhages that can be fatal if not addressed promptly.

Applying a tourniquet allows for rapid control of severe bleeding, which is essential in a combat environment where the risk of continued exposure to combat or additional threats remains high. It also enables the medic to move on to further life-saving interventions without delay.

While direct pressure, elevation, and the use of hemostatic agents can also play roles in controlling bleeding, they may not be effective enough in critical scenarios where a tourniquet can provide immediate vascular occlusion necessary to prevent exsanguination. The care under fire phase emphasizes the need for swift actions to ensure survival. Hence, applying a tourniquet stands out as the most effective and recommended method in such situations.