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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
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]).

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.

Type
Brief Report
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):13991400.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):368372.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);7782.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):127132. 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):19851987.10.1016/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):11031109.CrossRefGoogle Scholar