Where should the "wad" of material from an improvised pressure dressing be placed?

The "wad" of material from an improvised pressure dressing should be placed on top of the original dressing and over the wound to ensure effective compression and stabilization of the bleeding. By applying the pressure dressing directly over the wound, it directly targets the source of hemorrhage, helping to control bleeding effectively. This technique allows for direct pressure that aids in clot formation and prevents further blood loss.

Applying the wad over the original dressing also ensures that the dressing remains in place, enhancing its ability to absorb blood and keep the wound clean from outside contaminants. This method of pressure application is crucial in trauma situations where rapid control of bleeding can significantly improve the chances of survival until more advanced medical care can be administered.