What should be your course of action for a patient experiencing heavy vaginal bleeding?

Administering high-flow oxygen and keeping the patient warm with elevated legs is a critical response when managing a woman with heavy vaginal bleeding. In cases of significant blood loss, the priority is to maintain adequate oxygenation and circulation. High-flow oxygen helps to ensure that even if the patient's blood volume is compromised, her tissues still receive enough oxygen. This is crucial because heavy bleeding can lead to hypovolemic shock, where the body is unable to maintain adequate blood pressure and perfusion to vital organs.

Additionally, keeping the legs elevated can assist in promoting venous return to the heart, potentially improving blood circulation and helping to stabilize the patient's condition. This approach aims to reduce the risk of shock and support the patient's overall stability until advanced care can be provided.

The other options may not effectively address the immediate concerns in this situation. For instance, asking the patient to remove a tampon doesn't focus on the critical nature of her condition and could complicate matters. Assisting with ventilations using a bag-valve mask is typically reserved for respiratory failure and may not be necessary unless there is an immediate need due to altered mental status or significant airway compromise. Assessing the vaginal area for trauma is essential, but it does not take precedence over administering oxygen and ensuring the