STOP THE BLEED - UnityPoint Health · Post Test. Why this is important • Able to provide basic...
Transcript of STOP THE BLEED - UnityPoint Health · Post Test. Why this is important • Able to provide basic...
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December 14, 20129:35 am 911 Call9:36 am Shooting broadcast9:37 am Police dispatched9:39 am Police arrive9:40 am Last shot heard9:45 am Police enter
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December 14, 2012
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“You cannot control the behavior of others, but you can always choose
how you respond to it”
Roy T. BennettThe Light in the Heart
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Hartford Consensus
Joint Committee to Create a National Policy to Enhance Survivability from
Mass-Casualty Shooting Events• American College of Surgeons
– Board of Regents– Committee on Trauma
• EMS Section of International Association of Fire Chiefs
• National Security Staff, Office of the President
• Prehospital Trauma Life Support• Major Cities Chiefs Association• Committee on Tactical Combat
Casualty Care - DOD• Federal Bureau of Investigations• Federal Emergency Management
Agency
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Hartford Consensus
6/2013: Defined problem, THREAT
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Hartford Consensus - THREAT
T – Threat suppressionH – Hemorrhage controlRE – Rapid Extrication to safetyA – Assessment by medical providersT – Transport to definitive care
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“5 minutes is a real good EMS response. That is a long time to wait
for help if you are bleeding.”
Mark McCullochWest Des Moines EMS
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Hartford Consensus
6/2013: Defined problem, THREAT9/2013: Call to action
– Engage public, EMS, fire/rescue, hospitals– Develop educational strategy
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Hartford Consensus
6/2013: Defined problem, THREAT9/2013: Call to action7/2015: Implementation of bleeding control
– All responders have education and equipment– Endorses civilian bystanders to act– “see something, do something”
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People Want to Help
• National survey of the public regarding bleeding control (JACS 2016)– Public is willing to act to
stop bleeding– “There is still a lack of
organized and widespread education”
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Hartford Consensus
6/2013: Defined problem, THREAT9/2013: Call to action7/2015: Implementation of bleeding control3/2016: Achieve national resilience
– Dissemination of public education– ACS should take a lead role
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Bleeding Control BagEmployee Education
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3 Primary Principles
Protect Yourself
Identify the Injury
Stop the Bleeding (Hemorrhage)
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Methods• Study at 3 metro hospitals • May-Sept 2016• 8 minute interactive computer module • Deployed through online education system • Pre- and post-tests• 4,845 employees (84%) completed the
module and tests
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Respondents: Role
55%20%
25% Direct Patient Care
Ancillary Care
Nonclinical
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Respondents: Training
22%
49%
29%Severe Bleeding
First Aid
No First Aid
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Results
• Overall – 57% correct pre test– 98% correct post
test
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pre Test Post Test
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Why this is important
• Able to provide basic knowledge of hemorrhage control to a large group in a manner that is feasible and effective
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Next steps
• Incorporate skills training to hospital employees
• This model is serving as the foundation for a community-wide education program
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Bleeding Control Basic v1
Objectives:
1. Immediate response to life-threatening bleeding
2. Recognize life-threatening bleeding3. Appropriate ways to stop the bleeding
– Direct pressure and packing– Tourniquet application
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Who can teach B-Con?
* Who have successfully completed the B-Con course
NAEMT InstructorsPhysicians, PAs, Nurses *Military-approved TCCC instructorsPHTLS, TCCC, TECC providersATLS, TNCC, ATCN, ATC instructors *EMR, EMT, Paramedic providers *
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Bleeding Control - Summary
• B-Con is the new CPR• “Stop the Bleed” changes bystanders to first
responders• Priority for ACS and COT• Important education & outreach opportunity
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Bleeding Control - TO DO
• Teach your family!• Teach your community!• Spread the word!
www.bleedingcontrol.org