If the bleeding is not controlled after placing a tourniquet, where should a second tourniquet be applied?

The most effective approach when the bleeding is not controlled after placing a tourniquet is to apply a second tourniquet directly above the first one. This method ensures that the maximum amount of pressure is applied to the injured area, addressing the source of hemorrhage more effectively. By positioning the second tourniquet above the first, it is specifically targeting the blood flow in the area that still requires additional control.

Additionally, placing the second tourniquet onto the opposite limb would not be effective, as it would not control the ongoing bleeding in the injured limb. Similarly, placing it side by side does not provide the additional pressure needed effectively, while applying a tourniquet above the injury site is crucial, as it targets the area of concern. However, if the first tourniquet has already been applied directly above the injury, adding another one at the same level may still be needed to achieve hemostasis. Thus, applying a second tourniquet directly above the first is the most reliable method to manage severe hemorrhage.