Design and implementation of the Western Pennsylvania regional Stop the Bleed initiative

Neal, Matthew D.; Reynolds, Benjamin R.; Bertoty, David A.; Murray, Keith J; Peitzman, Andrew B.; Forsythe, Raquel M.

doi:10.1097/ta.0000000000002027

Cited by 22 publications

(18 citation statements)

References 13 publications

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“…These findings align with those of other investigators promoting large‐scale training of lay community members (Lei et al, ; Neal et al, ). With continued development of such programs, potential exists for the “Stop the Bleed” education to become more widely known and recognized through development of a train‐the‐trainer community program.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of “Stop the Bleed” training among K‐12 faculty and staff in Alabama

Jones

Brown

Esslinger³

et al. 2019

Public Health Nursing

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Objectives To evaluate “Stop the Bleed” (STB) training among/K12 personnel in an Alabama school system, and to assess participants’ perceived readiness to train peers in STB methods. Design and Sample We performed a cross‐sectional observational study with a convenience, nonprobability sample of 466 full‐time personnel who received STB training. Data were collected using an anonymous online survey. Measurements We asked participants to recall feelings related to STB both prior to and after completing training using a 5‐point Likert scale (5 = “Strongly Disagree”, 1 = “Strongly Agree”). We used logistic regression to evaluate the association among posttraining feelings and perceived preparedness to train others in STB. Results Participants were primarily female (78%), aged 41 ± 10 years, who held faculty positions (94%). Results revealed increased knowledge of (4 [IQR 2–4] vs. 2 [1–2], p < .001) and comfort with (4 [2–5] vs. 2 [1–2], p < .001) STB skills. Participants felt more empowered to organize STB training (4 [3–5] vs. 3 [2–4], p < .001); those who felt empowered to organize STB training were eight times more likely to feel capable of teaching STB. Conclusions After STB training, K‐12 personnel felt empowered to organize additional STB trainings and capable of teaching STB methods to others.

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Section: Discussionsupporting

confidence: 91%

Evaluation of “Stop the Bleed” training among K‐12 faculty and staff in Alabama

Jones

Brown

Esslinger³

et al. 2019

Public Health Nursing

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“…Neal et al reported the vital support of the Pennsylvania State Senate of STB and making training opportunities and bleeding kits available. 21 In our study, both LRs and MRs were able to achieve high scores on the objective assessment for the performance of bleeding control techniques. A statistically higher percentage of MRs reported that increasing hands-on practice time, case scenarios, and bleeding simulation were important to the STB course.…”

Section: Discussionmentioning

confidence: 52%

“…The largest experience to date of STB training for LRs was provided by Neal et al, in which an impressive almost 20,000 LRs received STB training during the 21-mo study period. 21 However, this descriptive study did not provide any objective evidence of the knowledge and skills performance of the participants. A study by Fridling et al provided a descriptive experience of training medical students as course participants and instructors.…”

Section: Discussionmentioning

confidence: 79%

“…However, no study has critically investigated efficacy of the STB course in both LRs and MRs by objectively assessing their knowledge and skills learned and obtaining their feedback on the course itself. [19][20][21][22][23] Our study demonstrates that STB course participants from different baseline levels of medical training not only had increased confidence after a 1-h STB course but were also able to demonstrate both 1) gains in knowledge of bleeding control techniques and 2) proficiency of critical bleeding control skills.…”

Section: Discussionmentioning

confidence: 96%

“…Since the STB campaign was launched in 2017, several studies have sought to investigate the efficacy of STB training. [19][20][21][22][23] However, no study to date has provided objective evidence on the performance of STB skills by both LRs and MRs. Thus, the primary objective of this study was to perform a critical systematic evaluation of STB course participant knowledge, attitude, and skills with the goal to provide valuable feedback to continue to enhance the participation in STB courses.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Stop the Bleed Training: Rescuer Skills, Knowledge, and Attitudes of Hemorrhage Control Techniques

Schroll

Smith

Martin

et al. 2020

Journal of Surgical Research

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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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Design and implementation of the Western Pennsylvania regional Stop the Bleed initiative

Abstract: Economic/Decision study, level IV.

Cited by 22 publications

References 13 publications

Evaluation of “Stop the Bleed” training among K‐12 faculty and staff in Alabama

Evaluation of “Stop the Bleed” training among K‐12 faculty and staff in Alabama

Stop the Bleed Training: Rescuer Skills, Knowledge, and Attitudes of Hemorrhage Control Techniques

Defining a Research Agenda for Layperson Prehospital Hemorrhage Control

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