What is the first step in managing a patient with obvious hemorrhage following sexual assault?

Controlling any bleeding and making the patient comfortable is the most appropriate first step in managing a patient with obvious hemorrhage following a sexual assault. Immediate attention to active hemorrhage is crucial for preventing further blood loss and stabilizing the patient’s condition. By prioritizing wound management, you’re addressing the most life-threatening aspect of the patient's injuries first.

In trauma care, particularly in cases involving hemorrhage, the principle of "start with the ABCs" (Airway, Breathing, Circulation) often places circulation—and bleeding control—at the forefront of interventions. Managing comfort is also vital, as traumatic experiences can lead to significant distress, and ensuring the patient feels as safe and comfortable as possible can facilitate better outcomes in subsequent assessment and treatment.

While other options might involve important components of patient care, they do not adequately prioritize the immediate risk associated with noticeable bleeding. For example, transporting the patient without assessment overlooks critical initial treatment needs. Performing a full assessment before any action delays necessary interventions that could stabilize the patient. Offering psychological support is essential but should not precede the management of life-threatening injuries such as hemorrhage.