The Hartford Consensus: A National Survey of the Public Regarding Bleeding Control

Jacobs, Lenworth M.; Burns, Karyl J.; Langer, Gary; Jonge, Chad Kiewiet de

doi:10.1016/j.jamcollsurg.2016.02.013

Cited by 49 publications

(65 citation statements)

References 3 publications

(2 reference statements)

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“…While most of the papers examine CPR skills, some investigate other firstaid skills, such as bleeding control emergencies ( Jacobs et al, 2016;, or discuss a wider range of first-aid skills (Penrose, 2009). These studies were conducted across Australia, Europe, North and South America, and Southeast Asia; they feature 4 interview studies, 12 survey studies, 3 reviews, and 2 discussion meetings (for surgeons) and focus groups (for the public) (see Appendix S4 in online supplementary material).…”

Section: Performing First Aid In An Emergencymentioning

confidence: 99%

“…According to Jacobs et al (2016), this fear may be particularly prevalent among women and ethnic minorities. According to Jacobs et al (2016), this fear may be particularly prevalent among women and ethnic minorities.…”

Section: Knowledge and Beliefsmentioning

confidence: 99%

“…In particular, people expressed concern about the risk of infection and disease transmission through contact with bodily fluids (Axelsson, 2001;Bouland et al, 2017). This fear represented the biggest barrier to helping in the study's gunshot scenario ( Jacobs et al, 2016). Such fears are also associated with performing other first-aid skills; one study reveals that 61 per cent of respondents expressed concern that controlling bleeding could lead to infection or disease transmission.…”

Section: Personal Consequences Of Helpingmentioning

confidence: 99%

“…For example, in a study of lay rescuers who were involved with real cardiac arrest emergencies in Norway, respondents identified feeling safe as a factor that allowed them to feel comfortable about helping in an emergency (Mathiesen et al, 2017). Respondents also noted the fear of being in physical danger from additional violence; this concern was more common among women (50 per cent) than men (36 per cent) ( Jacobs et al, 2016). Respondents also noted the fear of being in physical danger from additional violence; this concern was more common among women (50 per cent) than men (36 per cent) ( Jacobs et al, 2016).…”

Section: Personal Consequences Of Helpingmentioning

confidence: 99%

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Mapping the public first‐aid training landscape: a scoping review

2019

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While the public can play a vital role in saving lives during emergencies, intervention is only effective if people have the skills, confidence, and willingness to help. This review employs a five-stage framework to systematically analyse first aid and emergency helping literature from 22 countries (predominately in Asia, Australia, Europe, and the United States). The review covers 54 articles that investigate public first-aid knowledge and uptake of first-aid training (40); public confidence in first-aid skills and willingness to help during an emergency (21); and barriers to or enablers of learning first aid and delivering first aid in an emergency (25). The findings identify high levels of perceived knowledge, confidence, and willingness to help, supporting the contention that the public can play a vital role during an emergency. However, the findings also point to low uptake levels, low tested skill-specific knowledge, and barriers to learning first aid and helping, indicating that the first-aid training landscape is in need of improvement.

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Section: Performing First Aid In An Emergencymentioning

confidence: 99%

Section: Knowledge and Beliefsmentioning

confidence: 99%

Section: Personal Consequences Of Helpingmentioning

confidence: 99%

Section: Personal Consequences Of Helpingmentioning

confidence: 99%

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Mapping the public first‐aid training landscape: a scoping review

2019

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“…There is a vision-at present time with minimal implementation-to provide access to tourniquets in public places just like the deployment of Automated External Defibrillators (AEDs) (Jacobs, Burns, Langer, & Kiewiet de Jonge, 2016). However, very little is known about how to provide just-in-time emergent guidance for tourniquet application.…”

Section: Tourniquet Usementioning

confidence: 99%

A Preliminary Comparison of Three Tourniquet Instructions for Just-in-Time Guidance of a Simulated Tourniquet Application

Lowndes

Forsyth

Prytz

et al. 2017

Proceedings of the Human Factors and Ergonomics Society Annual

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The American College of Surgeons (ACS) and the Department of Homeland Security (DHS) encourage the use of tourniquets as part of the "Stop the Bleed" campaign. Both have provided instructions for layperson tourniquet application in order to save the life of a hemorrhaging trauma victim. This study sought to compare the impact of using ACS and DHS instructions with manufacturer-provided instructions for the completion of simulated tourniquet application steps. Thirty surgical trainees completed a simulated tourniquet application with one of the three instruction sets. Their completion time and success for each step were measured. Participants that received ACS instructions failed the fewest number of steps (p < 0.01) and completed the task faster (Mean (SD) = 70 (33) seconds) compared to those with the manufacturer-provided instructions (p < 0.01). Tourniquet instruction sets need to be refined in order to optimize the success rate of just-in-time guidance for tourniquet application.

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Stop the Bleeding

Fisher

Bulger

Gestring

2018

JAMA

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Uncontrolled hemorrhage is the single most preventable cause of death following traumatic injury. Bystanders can control bleeding and potentially save lives if they are willing to intervene. Bystander engagement has been identified as a vital first link in the chain of survival following injury. 1 Efforts to promote greater awareness about bleeding control techniques in the civilian environment evolved through lessons learned from the military. The conflicts in Iraq and Afghanistan have led to significant improvements in the identification and out-ofhospital treatment of massive hemorrhage.Before the conflicts, the US military's approach to out-ofhospital hemorrhage discouraged the use of tourniquets because of fear for limb loss from ischemic injury. More recent experience with battlefield trauma showed that the opposite was true and that the survival benefits with tourniquets far outweighed the risks. 2 In 1996, medical treatment guidelines for special operations forces were published that later evolved into the Tactical Combat Casualty Care (TCCC) curriculum.The TCCC curriculum focused on the most common causes of preventable combat death and emphasized tourniquet use in the control of extremity bleeding. Despite the TCCC guidelines, protocols promoting the widespread use of tourniquets at the start of the conflicts in Iraq and Afghanistan had not yet been developed. Death from extremity hemorrhage during this period accounted for 7.8% of all battlefield fatalities.

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The Hartford Consensus: A National Survey of the Public Regarding Bleeding Control

Cited by 49 publications

References 3 publications

Mapping the public first‐aid training landscape: a scoping review

Mapping the public first‐aid training landscape: a scoping review

A Preliminary Comparison of Three Tourniquet Instructions for Just-in-Time Guidance of a Simulated Tourniquet Application

Stop the Bleeding

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