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Area of Science:

  • Emergency Medicine
  • Trauma Care
  • Public Health Initiatives

Background:

  • The Stop the Bleed initiative trains laypeople in hemorrhage control.
  • Severe hemorrhage is a leading cause of preventable death.
  • Immediate response by bystanders can improve patient outcomes.

Purpose of the Study:

  • To assess short-term knowledge and skill retention of Combat Application Tourniquet (CAT) application.
  • To evaluate the effectiveness of the Stop the Bleed course in nonmedical personnel.
  • To identify factors influencing tourniquet application success and confidence.

Main Methods:

  • A cohort of 10 nonmedical individuals received standard Stop the Bleed training, including CAT application.
  • Performance was assessed at 30 days using a standardized mannequin simulating a traumatic amputation.
  • Data collected included technique, time to application, observed difficulties, and self-reported confidence levels.

Main Results:

  • Post-training confidence in CAT application increased significantly (2.4 to 4.7), but decreased to 3.4 by 30 days.
  • Only 6 out of 10 participants successfully applied the CAT within the 30-day timeframe.
  • Successful participants reported higher confidence levels (4.7) compared to unsuccessful ones (3.3).

Conclusions:

  • The Stop the Bleed program effectively imparts initial knowledge and confidence in hemorrhage control.
  • Significant skill degradation and reduced proficiency in CAT application occur within 30 days among nonmedical personnel.
  • Further research is needed to optimize training strategies for long-term skill retention in public emergency response.