If one tourniquet does not stop the bleeding, what is the next step?

Applying a second tourniquet above the first is the correct step when one tourniquet fails to stop the bleeding. This approach is essential because, in situations where the first tourniquet is ineffective, moving higher on the limb can help occlude the blood vessels that are still allowing blood to flow. The goal is to achieve complete control over the bleeding, and placing a second tourniquet above the first helps manage severe hemorrhage more effectively.

A lower tourniquet or waiting for emergency services does not address the immediate need for controlling the bleeding. Loosening the first tourniquet would also not be advisable, as doing so could release the pressure and allow more blood to flow, which could worsen the patient’s situation. Therefore, applying a second tourniquet above the first is the best practice to ensure that the bleeding is adequately controlled.