What should always follow the application of direct pressure to a bleeding wound?

Following the application of direct pressure to a bleeding wound, elevation of the injured area is the appropriate next step. Elevating the injury above the level of the heart helps to reduce blood flow to the area, which can further minimize bleeding. This mechanism takes advantage of gravity to assist in slowing down blood loss and promotes better venous return, aiding in the body's natural healing processes.

Direct pressure alone may control the initial bleeding, but elevation works synergistically to enhance the effectiveness of the pressure by reducing the hydrostatic pressure in the blood vessels of the injured area. This combination is crucial in managing bleeding and preventing shock in situations where excessive blood loss is a concern.

While other options may seem relevant under certain circumstances, they do not directly support the immediate management of bleeding in the same effective way. For instance, suctioning blood is typically not necessary unless there are obstructive elements in the airway. Icing the wound may help reduce swelling and provide some pain relief but is not an immediate priority after applying pressure. Antibiotics might be needed later for infection prevention but are not suitable for immediate application in bleed control.