What is the first step to take when dealing with spurting blood from a neck injury?

In the case of a neck injury that involves spurting blood, the priority is to control the bleeding effectively. Applying direct pressure using wound packing is the most appropriate first step. This method involves using sterile materials to pack the wound tightly, providing the necessary pressure to help stem the flow of blood.

When dealing with severe bleeding, especially from a major artery, immediate pressure can significantly reduce blood loss while giving time for emergency medical services to arrive. This intervention focuses on prioritizing the management of the injury before other actions, such as airway management or covering the wound, are taken.

Other steps, such as maintaining an open airway and spinal motion restriction, are crucial in different contexts, especially if there are signs of spinal injury or compromised breathing. However, in the acute phase of managing significant bleeding, immediately addressing the hemorrhage takes precedence. Covering the wound with a moist dressing might be relevant later but does not address the urgency of controlling bleeding. Similarly, while occlusive dressings are important, they are typically used for specific types of wounds, such as those that involve penetrative trauma, rather than as the initial response to spurting blood.