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Stop the Bleed: An Interprofessional Community Service Learning Project Assessing the Efficacy of Pharmacist-Led Hemorrhage Control Education for Laypersons

Published online by Cambridge University Press:  31 March 2020

Robert Moton ,
Courtney Baus ,
Claire Brandt ,
Alana Coleman ,
Kaitlin Kennedy ,
Steven Swank ,
Michelle Tran ,
Katherine Kazen ,
Stefan Allen  and
Rebecca Moote
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Robert Moton
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Courtney Baus
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Claire Brandt
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Alana Coleman
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Kaitlin Kennedy
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Steven Swank
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Michelle Tran
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas
Katherine Kazen
Affiliation:
Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Stefan Allen
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas
Rebecca Moote
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas University Health System, San Antonio, Texas
Kirk E. Evoy*
Affiliation:
College of Pharmacy, The University of Texas at Austin, Austin, Texas Long School of Medicine, University of Texas Health-San Antonio, San Antonio, Texas University Health System, San Antonio, Texas
*
Correspondence and reprint requests to Kirk Evoy, The University of Texas at Austin College of Pharmacy, 7703 Floyd Curl Drive, MC-6220, San Antonio, TX78229 (e-mail: [email protected]).
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Abstract

Objectives:

Stop the Bleed (STB) is a national initiative that provides lifesaving hemorrhagic control education. In 2019, pharmacists were added as health-care personnel eligible to become STB instructors. This study was conducted to evaluate the efficacy of pharmacist-led STB trainings for school employees in South Texas.

Methods:

Pharmacist-led STB trainings were provided to teachers and staff in Laredo, Texas. The 60-min trainings included a presentation followed by hands-on practice of tourniquet application, wound-packing, and direct pressure application. Training efficacy was assessed through anonymous pre- and postevent surveys, which evaluated changes in knowledge, comfort level, and willingness to assist in hemorrhage control interventions. Student volunteers (predominantly pharmacy and medical students) assisted in leading the hands-on portion, providing a unique interprofessional learning opportunity.

Results:

Participants with previous training (N = 98) were excluded, resulting in a final cohort of 437 (response rate 87.4%). Compared with baseline, comfort level using tourniquets (mean, 3.17/5 vs 4.20/5; P < 0.0001), opinion regarding tourniquet safety (2.59/3 vs 2.94/3; P < 0.0001), and knowledge regarding tourniquets (70.86/100 vs 75.84/100; P < 0.0001) and proper tourniquet placement (2.40/4 vs 3.15/4; P < 0.0001) significantly improved.

Conclusions:

Pharmacist-led STB trainings are efficacious in increasing school worker knowledge and willingness to respond in an emergency hemorrhagic situation.

Keywords

bleeding controlcommunity outreachhealth educationhemorrhage controlpublic healthStop the Bleed
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 3 , June 2021 , pp. 271 - 276
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Center for Disease Control and Prevention. Ten leading causes of death and injury. https://www.cdc.gov/injury/wisqars/LeadingCauses.html. Accessed June 10, 2019.Google Scholar
Curry, N, Hopewell, S, Dorée, C, et al. The acute management of trauma hemorrhage: a systematic review of randomized control trials. Crit Care. 2011;15(2):R92. doi: 10.1186/cc10096.CrossRefGoogle Scholar
U.S. Federal Bureau of Investigations. Active shooter resources. https://www.fbi.gov/about/partnerships/office-of-partner-engagement/active-shooter-resources. Accessed June 10, 2019.Google Scholar
Center for Homeland Defense and Security. K-12 school shooting database, incidents by year. https://www.chds.us/ssdb/incidents-by-year/. Accessed June 10, 2019.Google Scholar
Jacobs, L, McSwain, N Jr, Rotondo, M, et al. Improving survival from active shooter events: the Hartford Consensus. J Trauma Acute Care Surg. 2013;74(6):1399–1400.CrossRefGoogle ScholarPubMed
Stop the Bleed. https://www.stopthebleed.org/. Accessed June 10, 2019.Google Scholar
Lei, R, Swartz, M, Harvin, J, et al. Stop the Bleed training empowers learners to act to prevent unnecessary hemorrhagic death. Am J Surg. 2019;217(2):368–372.CrossRefGoogle ScholarPubMed
Levy-Carrick, N, McCarty, J, Chaudhary, MA, et al. Hemorrhage control training promotes resilience-associated traits in medical students. J Surg Educ. 2019;76(1);77–82.CrossRefGoogle Scholar
Martin, M, Smith, A, Zeoli, T, et al. Critical assessment of stop the bleed: skills for both lay and medical rescuers. J Am Coll Surg. 2018;227(4):S215.CrossRefGoogle Scholar
Ross, EM, Redman, TT, Mapp, JG, et al. Stop the Bleed: the effect of hemorrhage control education on laypersonʼs willingness to respond during a traumatic medical emergency. Prehosp Disaster Med. 2018;33(2):127–132. doi: 10.1017/S1049023X18000055 CrossRefGoogle Scholar
Center for Homeland Defense and Security. K-12 school shooting database, incidents by state from 1970-present. https://www.chds.us/ssdb/active-shooter-incidents-by-state/. Accessed June 10, 2019.Google Scholar
Texas Tribune. https://schools.texastribune.org/districts. Accessed June 10, 2019.Google Scholar
Elkbuli, A, Dowd, B, Casin, A, et al. Stop the bleed training outreach initiatives targeting high school students: it takes a community to save a life. Am J Emerg Med. 2019;37(10):1985–1987.10.1016/j.ajem.2019.04.033CrossRefGoogle Scholar
Texas Department of State Health Services. Texas trauma facilities. https://www.dshs.texas.gov/emstraumasystems/etrahosp.shtm#NewBookmark. Accessed June 10, 2019.Google Scholar
Crandall, M, Sharp, D, Unger, E, et al. Trauma deserts: distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago. Am J Public Health. 2013;13(60):1103–1109.CrossRefGoogle Scholar