A Patient with Hemophilia Has Suffered a Large and Deep

Multiple Choice

A patient with hemophilia has suffered a large and deep laceration to the right forearm after cutting it on a mirror, which fell while he was hanging it. The wound is hemorrhaging a steady amount of dark red blood. Given the history of hemophilia, your immediate action on reaching the patient's side and putting on gloves would be to:

A) request that the ED have Factor VIII standing by on your arrival.
B) start an IV and administer a 1 L NS bolus.
C) apply a tourniquet proximal to the wound.
D) apply direct pressure with a bulky dressing.