Amid so many shootings, a move to make tourniquet training as commonplace as CPR – Courthouse News Service | WHs Answers

But even before Sandy Hook, there was already a rethink. The success of tourniquets on the battlefields of Iraq and Afghanistan and the 2007 Virginia Tech shooting sparked discussions about tourniquets within the EMS community.

“You’ve made it to the point in Iraq and Afghanistan where you’ve made it to a medical facility, if not a trauma center, within 45 minutes or an hour of the injury,” Carroll said. “Wearing a tourniquet for an hour is almost irrelevant. It hurts, don’t get me wrong; it’s not comfortable for the person, but it helps them survive.”

Soldiers outside the wire fence carried individual first aid kits in case they were injured.

Carroll, who worked with the US Army at a trauma center in Afghanistan, had four tourniquets hidden on his body: one in his pocket next to each of his limbs.

Bleeding injuries in the United States often come from kitchen knives, car accidents, and chainsaws.

“The difference with the military is,” Carroll said, “in general you’re dealing with much larger caliber weapons and assault rifle injuries that do a lot more damage and things that you would need a tourniquet for a lot more.” common, while with civilians we are dealing mostly with handgun injuries and don’t have that much energy.”

Craig Goolsby, a professor of military and emergency medicine at Uniformed Services University, said first aid classes have historically been effective in teaching individuals how to treat sprained ankles, minor cuts and scrapes. The old training usually advised people to stay away and call 911 for serious injuries.

Goolsby, who has twice served with the Air Force in Iraq, was also the lead investigator who developed an American Red Cross course called Major Trauma First Aid, aimed at high school students and launched in 2019.

According to the Red Cross, more than 2,500 people have taken part in its FAST training, with a number of Goolsby hoping for a snowball when students return to school in the autumn.

Goolsby said teaching high school hemorrhage controls is one way to effectively teach the techniques across the country because they are at a level of maturity to deal with the issue of massive bleeding before they heard the earlier adages about avoiding tourniquets have and they can carry the knowledge for the rest of their lives.

He said the training is necessary so people know how to use a tourniquet properly, make sure it’s put on properly and know when an injury is severe enough to warrant it.

“A lot of first aid courses are starting to incorporate some of the techniques for stopping the bleeding as well,” Goolsby said. “So I think what we’re going to see in the coming years is … a significant shift toward more pervasive teaching of those skills.”

Seven years after the White House initiative, stop-the-bleed training has been continued by such big names as the American Heart Association, the American College of Surgeons and the Red Cross.

The name itself, Stop the Bleed, is a trademark of the Department of Defense. The Combat Casualty Care Research Program (CCCRP) is the organization that checks whether the brand is licensed to different groups; There are 462 Stop the Bleed partners worldwide.

“It’s not a formal government program, other than the fact that it was a White House mandate a few years ago and the DoD retains the trademark,” said Travis Polk, director of CCCRP. “But it’s a grassroots effort by everyone who believes in it. Most of the lecturers work on a voluntary basis.”

Polk, who was a Stop the Bleed trainer himself, said if a company attempts to use the Stop the Bleed brand, CCCRP will verify that a qualified individual is teaching the course and that the training meets published standards, shall we say, how it goes Use a tourniquet appropriately.

Polk said the pandemic has changed the way people experience training, with some groups moving away from in-person training to virtual training. But virtual workouts don’t benefit from the psychomotor skills that come from actually working with a tourniquet, he said.

Meanwhile, Jacobs said Stop the Bleed has trained 100,000 instructors in 134 countries, instructors who have trained about 2.1 million people worldwide. It’s just a fraction of the 200 million Jacobs says he’s trained.

While efforts to teach Stop the Bleed have been ongoing for a number of years, widespread teaching of CPR began in the early 1970s and took some time to become widespread nationwide, Jacobs said.

Some medical schools require students to learn stop-the-bleed techniques, said Jacobs, who in turn will teach others.

“That’s how we go from 2 million to 200 million,” Jacobs said. “It’s not linear. It will be exponential.”

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