Abstract
IntroductionUnintentional bleeding is the leading cause of death in people 1–44 years of age in the United States. The Stop the Bleed (STB) campaign is a nationwide course that teaches the public to ensure their own safety, call 911, find the bleeding injury, and achieve temporary hemorrhage control by several techniques. Although the national campaign for the training course was inspired by active shooter events, the training can be applied to motor vehicle accidents and small-scale penetrating and gunshot wounds. Extending the audience to inner-city high school students in a violence-prone neighborhood has the potential to save lives if they are first on the scene.ObjectivesWe hypothesized that students would have a greater degree of comfort, willingness, and preparedness to intervene in acute bleeding after taking the course.MethodsThis was a prospective, interventional pilot study in one inner-city high school in Brooklyn, New York. Students were given the option to participate in the STB course with pre- and post-surveys. We recruited 286 students from physical education or health education class to take a 50-minute bleeding control training course. Mean age was 15.7 years old. Students were divided into groups of 20–25 and taught by 2–3 emergency medicine, pediatric, or trauma surgery STB instructors. Each course included 2–3 skills stations for placing a tourniquet, wound packing, and pressure control.ResultsPrior to the course, only 43.8% of the students reported being somewhat likely or very likely to help an injured person who was bleeding. After the course, this increased to 80.8% of students even if no bleeding control kit was available. Additionally, there were significant improvements in self-rated comfort level from pre- to post-course 45.4% to 76.5%, and in self-rated preparedness from 25.1% to 83.8%. All three measures showed statistically significant improvement, P <.0001.ConclusionTeaching the STB course to high school students from a community with high levels of violence resulted in increased comfort level, willingness, and preparedness to act to control bleeding. If these opinions translate into action, students’ willingness to act could decrease pre-hospital blood loss and empower youth to perform life-saving interventions.
Highlights
Unintentional bleeding is the leading cause of death in people 1-44 years of age in the United States
Teaching the Stop the Bleed (STB) course to high school students from a community with high levels of violence resulted in increased comfort level, willingness, and preparedness to act to control bleeding
In this study, high school students who participated in the STB training course were shown to have an increase in their comfort level, willingness, and preparedness to intervene in controlling life-threatening bleeding
Summary
Unintentional bleeding is the leading cause of death in people 1-44 years of age in the United States. The Stop the Bleed (STB) campaign is a nationwide course that teaches the public to ensure their own safety, call 911, find the bleeding injury, and achieve temporary hemorrhage control by several techniques. The STB campaign had two main goals: 1) to inform as well as empower laypersons to be trained in basic trauma care to stop or slow bleeding during an emergency; and 2) to increase bystanders’ access to bleeding control kits. Using these skills, participants may be more likely to intervene in a time of need.[1]
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