Hemorrhage Control Training for Medical Students: Implementation of the American College of Surgeons’ Stop the Bleed Training at Vanderbilt University School of Medicine

Gallagher, Kathleen C.; Evans, Parker T.; Robinette, J. Patton; Wilson, Catherine S.; Smith, Melissa D.; Miller, Richard S.; Guillamondegui, Oscar D.; Dennis, Bradley M.

doi:10.1016/j.jamcollsurg.2018.08.557

Cited by 2 publications

(2 citation statements)

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“…A recent trial found that skill degradation over time is significant and laypeople could correctly apply a tourniquet only 55% of the time 3 to 9 months after the Bleeding Control Basic course. Multiple entities have implemented either independent or modified versions of these programs, but limited evaluation beyond subjective participant or instructor feedback is available …”

Section: Discussionmentioning

confidence: 99%

“…Multiple entities have implemented either independent or modified versions of these programs, but limited evaluation beyond subjective participant or instructor feedback is available. [34][35][36][37][38][39][40] Key gaps exist in measurement of efficacy of curriculum, modalities of training, and identification of barriers to skill application in real-life environments. Educational initiatives in hemorrhage control must look beyond the fields of surgery and emergency medicine to learn and understand how best to educate and train the greatest number of people in an effective, consistent, scalable, and cost-effective manner.…”

Section: Theme 3: Educationmentioning

confidence: 99%

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Defining a Research Agenda for Layperson Prehospital Hemorrhage Control

Goralnick¹,

Ezeibe²,

Chaudhary³

et al. 2020

JAMA Netw Open

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IMPORTANCE Trauma is the leading cause of death for US individuals younger than 45 years, and uncontrolled hemorrhage is a major cause of trauma mortality. The US military's medical advancements in the field of prehospital hemorrhage control have reduced battlefield mortality by 44%. However, despite support from many national health care organizations, no integrated approach to research has been made regarding implementation, epidemiology, education, and logistics of prehospital hemorrhage control by layperson immediate responders in the civilian sector. OBJECTIVE To create a national research agenda to help guide future work for prehospital hemorrhage control by laypersons. EVIDENCE REVIEW The 2-day, in-person, National Stop the Bleed (STB) Research Consensus Conference was conducted on February 27 to 28, 2019, to identify and achieve consensus on research gaps. Participants included (1) subject matter experts, (2) professional society-designated leaders, (3) representatives from the federal government, and (4) representatives from private foundations. Before the conference, participants were provided a scoping review on layperson prehospital hemorrhage control. A 3-round modified Delphi consensus process was conducted to determine high-priority research questions. The top items, with median rating of 8 or more on a Likert scale of 1 to 9 points, were identified and became part of the national STB research agenda. FINDINGS Forty-five participants attended the conference. In round 1, participants submitted 487 research questions. After deduplication and sorting, 162 questions remained across 5 a prioridefined themes. Two subsequent rounds of rating generated consensus on 113 high-priority, 27 uncertain-priority, and 22 low-priority questions. The final prioritized research agenda included the top 24 questions, including 8 for epidemiology and effectiveness, 4 for materials, 9 for education, 2 for global health, and 1 for health policy. CONCLUSIONS AND RELEVANCE The National STB Research Consensus Conference identified and prioritized a national research agenda to support laypersons in reducing preventable deaths due to life-threatening hemorrhage. Investigators and funding agencies can use this agenda to guide their future work and funding priorities.

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Section: Discussionmentioning

confidence: 99%