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Related Experiment Video

Updated: Sep 12, 2025

Integrated Compensatory Responses in a Human Model of Hemorrhage
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Integrated Compensatory Responses in a Human Model of Hemorrhage

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Evaluating Interventions Supporting Laypeople Addressing Prehospital Hemorrhage Study (SLAPS): A Parallel, 4-Arm

Peter G Delaney1, Haleigh Pine2, Emily Stoller3

  • 1Cleveland Clinic, Cleveland, OH.

Journal of the American College of Surgeons
|August 8, 2025
PubMed
Summary

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Advanced responder training priorities in Kenya: A Delphi study with implications for low- and middle- income countries.

African journal of emergency medicine : Revue africaine de la medecine d'urgence·2026

Point-of-care (POC) tourniquet training shows comparable long-term effectiveness to in-person methods for laypeople. This approach may improve hemorrhage control training scalability and reduce knowledge decay.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Public Health

Background:

  • Hemorrhage control is vital for reducing preventable deaths.
  • Bystander training faces scalability and knowledge retention challenges.
  • Point-of-care (POC) training offers a potential solution to these issues.

Purpose of the Study:

  • To compare the longitudinal efficacy of POC instructional modalities versus traditional in-person training for tourniquet application by laypeople.
  • To evaluate the impact of different training methods on skill decay over time.

Main Methods:

  • A parallel randomized controlled trial was conducted with undergraduate students.
  • Four groups were established: POC audiovisual, POC flashcard, in-person training, and a control group.
Keywords:
Hemorrhage controlLaypeoplePoint-of-carePrehospital

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  • Performance was assessed using direct-observation checklists and simulated hemorrhage arrest at 6-month follow-up.

    • Main Results:

    • No significant difference in tourniquet application performance was found between POC and in-person training at 6 months.
    • POC audiovisual training showed slightly higher performance rates in simulated arrest.
    • Participant confidence was higher in POC groups, despite longer completion times.

    Conclusions:

    • Point-of-care instruction may be a viable and effective alternative to in-person training for layperson hemorrhage control.
    • POC modalities can help overcome scalability challenges associated with traditional training methods.
    • This approach has the potential to improve widespread dissemination of life-saving hemorrhage control skills.