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The first step in controlling bleeding is to apply direct pressure to the wound. When direct pressure is applied, it helps to compress the blood vessels and tissues in the area, which can slow down or stop the flow of blood. This technique is effective because it enables the body's natural clotting mechanisms to begin working, allowing for the formation of a clot that can help seal the wound.

Direct pressure is typically applied with a clean cloth or bandage directly over the bleeding site. If the bleeding does not stop with initial pressure, additional layers can be added without removing the first one, continuing to maintain pressure. This method is crucial because it is both simple and effective for managing bleeding in emergency situations, making it the appropriate first response before considering other methods like elevation or the use of a tourniquet.