A 63-year-old male has an irregular three-inch laceration across his right forearm. He tells you he feels nauseated and light-headed. You observe a steady flow of dark, red blood. You are unable to stop the flow with direct pressure. What should you do next?
1) Apply a tourniquet above the laceration
2) Elevate the arm above the heart
3) Administer pain medication
4) Call for emergency medical assistance
