If the tourniquet is not controlling bleeding from an amputated extremity, what recommendation is advised?

When a tourniquet is not effectively controlling bleeding from an amputated extremity, transitioning to a hemostatic dressing is recommended. Hemostatic dressings contain agents that promote clotting and can be particularly effective in managing severe bleeding. These dressings are designed to be applied directly to the bleeding wound, and they can help to control hemorrhage by facilitating the body's natural clotting processes.

In the case of a traumatic amputation where conventional methods of bleeding control are insufficient, utilizing a hemostatic agent can provide an additional layer of care, especially if the injury is severe and the patient is experiencing life-threatening blood loss.

The other options do not provide the immediate, effective intervention that a hemostatic dressing offers. Maintaining a tourniquet without additional measures may not resolve the issue of uncontrolled bleeding. Immediate transport to a hospital is important, but it should not replace direct bleeding control measures; without managing the bleeding first, transport might not be possible. Monitoring the injury alone is inadequate in the face of active hemorrhage and poses significant risk to the patient's condition.