What method should be employed to stop bleeding in a casualty with a high leg amputation?

Utilizing a junctional tourniquet (SJT) is the most effective method to control severe bleeding in the case of a high leg amputation. This type of amputation involves the loss of a significant portion of the limb, potentially exposing large blood vessels. A junctional tourniquet is designed specifically for use in areas where traditional tourniquets might not be effective, such as at the groin or axilla, where blood vessels are located close to the trunk of the body.

In a high leg amputation, applying the SJT can compress the blood vessels at the junction between the limb and trunk, preventing significant blood loss while allowing for prior actions like wound packing or applying direct pressure to take place. This method is critical in preventing hemorrhagic shock and increases the chances of survival for the casualty until more advanced medical treatment can be provided.

Applying pressure directly to the site, while helpful in some situations, may not be sufficient for the size of the wound and the amount of bleeding associated with a high leg amputation. Waiting for evacuation compromises the casualty's health due to ongoing blood loss and could lead to more severe outcomes. Using a standard tourniquet on the limb may not apply the necessary pressure on the large vessels involved