Which action is part of the standard four-step approach to manage shock?

• A. Check blood glucose
• B. Control bleeding
• C. Elevate the legs above heart level
• D. Administer intravenous antibiotics

Answer: (B)

Controlling external bleeding is essential because ongoing blood loss lowers circulating volume and tissue perfusion, driving shock. Stopping the bleed stabilizes the patient and buys time for definitive care. The standard four-step approach to managing shock emphasizes preserving circulation: secure an open airway and support breathing, control external bleeding, keep the patient warm to prevent further heat loss, and arrange rapid transport for definitive care. Other actions listed address different concerns or conditions and are not part of the immediate shock management sequence. Therefore, stopping the bleeding aligns with the immediate priorities in shock care.