Stop the Bleed in Rural Sierra Leone: One Year of Interventions and Outcomes by Nursing Trainees

Parvin‐Nejad, Fatemeh P.; Padmanaban, Vennila; Jalloh, Samba; Barrie, Umaru; Sifri, Ziad C.

doi:10.1016/j.jss.2021.12.017

Cited by 8 publications

(21 citation statements)

References 18 publications

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“…Further elaborating on community‐based interventions for first aid resuscitation, Parvin‐Nejad et al 58 . showed that a Stop the Bleed course resulted in a large number of trainees (62 of 120) who went on to utilize hemorrhage control skills within 1 month, with a 97% survival rate.…”

Section: Discussionmentioning

confidence: 99%

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Hexom,

Quao,

Bandolin

et al. 2023

Academic Emergency Medicine

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ObjectiveThe objective was to identify the highest quality global emergency medicine (GEM) research published in 2022. The top articles are compiled in a comprehensive list of all the year's GEM articles and narrative summaries are performed on those included.MethodsA systematic PubMed search was conducted to identify all GEM articles published in 2022 and included a manual supplemental screen of 11 organizational websites for gray literature (GRAY). A team of trained reviewers and editors screened all identified titles and abstracts, based on three case definition categories: disaster and humanitarian response (DHR), emergency care in resource‐limited settings (ECRLS), and emergency medicine development (EMD). Articles meeting these definitions were independently scored by two reviewers using rubrics for original research (OR), review (RE) articles, and GRAY. Articles that scored in the top 5% from each category as well as the overall top 5% of articles were included for narrative summary.ResultsThe 2022 search identified 58,510 articles in the main review, of which 524 articles screened in for scoring, respectively, 30% and 18% increases from last year. After duplicates were removed, 36 articles were included for narrative summary. The GRAY search identified 7755 articles, of which 33 were scored and one was included for narrative summary. ECRLS remained the largest category (27; 73%), followed by DHR (7; 19%) and EMD (3; 8%). OR articles remained more common than RE articles (64% vs. 36%).ConclusionsThe waning of the COVID‐19 pandemic has not affected the continued growth in GEM literature. Articles related to prehospital care, mental health and resilience among patients and health care workers, streamlining pediatric infectious disease care, and disaster preparedness were featured in this year's review. The continued lack of EMD studies despite the global growth of GEM highlights a need for more scholarly dissemination of best practices.

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Section: Discussionmentioning

confidence: 99%

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Hexom,

Quao,

Bandolin

et al. 2023

Academic Emergency Medicine

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“…Out of the 20 included manuscripts, cohort studies (60%, n = 12) [16][17][18][19]21,23,24,[29][30][31][32][33] were the majority.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Other studies included case control or case reports (10%, n = 2), 25,33 randomized control trials (20%, n = 4), 20,26,27,32 and retrospective cohort studies (10%, n = 2). 22,28 Sixty percent (n = 16) of studies presented findings from Africa, [17][18][19][20][21][22][23][24][25][28][29][30][31][34][35][36] involving data from 12 countries. Three studies were conducted in Central or South America, 21,26,35 and three in South Asia or the Middle East.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Fifty-five percent (n = 11) of studies [17][18][19]21,23,24,26,29,30,34,35 described training Tier-1 first responders, 25% (n = 5) of studies 20,22,27,32,33 focused on Tier-2 first responders, and 20% (n = 4) of studies 16,25,28,31 covered both Tier-1 and Tier-2. Commonly reported occupations of Tier-1 first responders included taxi drivers (30% of studies, n = 6), commercial drivers (20%, n = 4), police (20%, n = 4), firefighters (20%, n = 4), and military personnel (10%, n = 2).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Prehospital hemorrhage management in low‐ and middle‐income countries: A scoping review

Kulkarni,

Batra,

Eisner

et al. 2024

World j. surg.

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IntroductionLow‐ and middle‐income countries (LMICs) account for 90% of deaths due to injury, largely due to hemorrhage. The increased hemorrhage mortality burden in LMICs is exacerbated by absent or ineffective prehospital care. Hemorrhage management (HM) is an essential component of prehospital care in LMICs, yet current practices for prehospital HM and outcomes from first responder HM training have yet to be summarized.MethodsThis review describes the current literature on prehospital HM and the impact of first responder HM training in LMICs. Articles published between January 2000 and January 2023 were identified using PMC, MEDLINE, and Scopus databases following PRISMA‐ScR guidelines.Inclusion criteria spanned first responder training programs delivering prehospital care for HM. Relevant articles were assessed for quality using the Newcastle‐Ottawa scale.ResultsOf the initial 994 articles, 20 met inclusion criteria representing 16 countries. Studies included randomized control trials, cohort studies, case control studies, reviews, and epidemiological studies. Basic HM curricula were found in 15 studies and advanced HM curricula were found in six studies. Traumatic hemorrhage was indicated in 17 studies while obstetric hemorrhage was indicated in three studies. First responders indicated HM use in 55%–76% of encounters, the most frequent skill they reported using. Mean improvements in HM knowledge acquisition post‐course ranged from 23 to 58 percentage points following training for pressure and elevation, gauze application, and tourniquet application.ConclusionsOur study summarizes the current literature on prehospital HM in LMICs pertaining to epidemiology, interventions, and outcomes. HM resources should be a priority for further development.

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“…27 The Stop-the-Bleed course has been found to increase response usage among those trained and survival among victims. 28 Additionally, Stop-the-Bleed is part of a recommended mitigation strategy for active shooter situations. 29 In this evaluation, the MRC leadership is housed within the public health authority.…”

Section: Introductionmentioning

confidence: 99%

Medical Reserve Corps Volunteers’ Characteristics Affect Disaster Survival

Brannen,

Howell,

Bidigare

et al. 2023

Disaster med. public health prep.

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Objective: Medical Reserve Corps’ volunteers underwent stop-the-bleed, triage, and disaster preparedness training to improve victim survival of a mass casualty event. Methods: Volunteer responses to 16 disaster vignettes were recorded as ‘survived’ if correct, or ‘died’ if incorrect. Volunteers’ characteristics were evaluated based on the health outcomes of the vignette victims via logistic regression. Results: Overall, 69 volunteers evaluated 1104 vignette victims. STB training significantly improved survival from 77.2% to 93.2% (P < 0.001). The training did not improve disaster preparedness (75.5% to 73%) nor triage (33.5% to 35.1%). Volunteer first care provider training in psychological first aid improved victim survival from 10.32 (9.6 - 10.9, 95% CI) to 11.9 (11.28 - 12.5, 95% CI). The odds of survival increased when disaster victims received first care from a volunteer who had a positive perception of the public authority’s truthfulness (1.50, range 1.07 - 2.10); stated a willingness to volunteer (1.65, range 1.2 - 2.26); completed psychological first aid training (1.557, range 1.08 - 2.22); or had 4-or-more years of post-secondary education (1.30, range 1.00 - 1.701). Conclusion: Psychological first aid training should be a basic requirement for disaster volunteers. Trust in public authority to provide protective public health recommendations increases disaster survival.

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Stop the Bleed in Rural Sierra Leone: One Year of Interventions and Outcomes by Nursing Trainees

Cited by 8 publications

References 18 publications

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Prehospital hemorrhage management in low‐ and middle‐income countries: A scoping review

Medical Reserve Corps Volunteers’ Characteristics Affect Disaster Survival

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