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

The Journal of Trauma and Acute Care Surgery
Matthew D NealRaquel M Forsythe

Abstract

Hemorrhage is the leading cause of preventable death in trauma, and nearly 40% of prehospital deaths can be attributed to blood loss. The Stop the Bleed program provides a structured curriculum for teaching hemorrhage control and the use of bleeding control kits. To overcome implementation barriers and to achieve the goal of making education on bleeding control as common as cardiopulmonary resuscitation, widespread implementation with outreach to the public and law enforcement is necessary. We provide a description and analysis of the implementation of a regional Stop the Bleed program, which includes a step-by-step guide to the design of this program provided as a template to guide attempts at large-scale Stop the Bleed program development. Combining the efforts of regional trauma and nontrauma centers as a hub-and-spoke design, a region covering four states, 72 counties, and 30,000 square miles was targeted. A total of 27,291 individuals were trained in a 21-month period including 3,172 trainers, 19,310 lay public, and 4,809 law enforcement officers. A total of 436 bleeding control kits were distributed to 102 public schools, and tourniquets were provided to 4,809 law enforcement officers. Program development and community ou...Continue Reading

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Citations

Jul 6, 2019·The Journal of Trauma and Acute Care Surgery·Andrew DennisFaran Bokhari
Jul 12, 2019·Public Health Nursing·Allison R JonesJeffrey D Kerby
Sep 17, 2019·The Journal of Surgical Research·Rebecca SchrollJennifer Avegno
Nov 12, 2021·The American Surgeon·Amanda M MarshLawrence Lottenberg

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