Stop the Bleed The White House Hemorrhage Control Initiative

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1 Stop the Bleed The White House Hemorrhage Control Initiative David M Sailors MD Asst Prof Surgery UGA/MCG Medical Partnership Team Physician UGA Athletic Association University of Georgia Athens Georgia

2 Disclosures I have NO relevant financial relationships to disclose

3 Background Dec 2012 Sandy Hook disaster April 2013 Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty and Active Shooter Events was formed under the guidance of the ACS Chair Lenworth M Jacobs MD Stake holders ( ACS, NSC, US Military,FBI, Gov and non Gov emergency medical response organizations University of Georgia Sports Medicine

4 Background Hartford Consensus THREAT T H R A T Threat suppression Hemorrhage control Rapid Extraction to safety Assessment by medical professional Transport to definitive care University of Georgia Sports Medicine

5 Objective Provide background on White House Hemorrhage Control Initiative Stop the Bleed Discuss the integration of Stop the Bleed initiative into both a NCAA sports athletic program and overall institution and community

6 Bleeding Control Accidents involving athletes

7 Bleeding Control Accidents involving athletes

8 Bleeding Control Accidents involving spectators

9 Bleeding Control Manmade and natural disasters and everyday emergencies

10 In October White House Directive via the Dept of Homeland Security Stop the Bleed campaign. Stop the Bleed National awareness campaign to encourage bystanders to become trained and empowered to help in an emergency

11 Stop the Bleed Initiative led by Richard Hunt, MD, Director for Medical Preparedness Policy at National Security Council Staff White House worked with a federal interagency group, leaders from national medical organizations, the private sector and nonprofit organizations including National Athletic Trainers Association

12 Stop the Bleed Stop the Bleed the goal is to put knowledge gained by first responders and our military, into the hands of the public to help save lives.

13 Uncontrolled Bleeding Uncontrolled bleeding injuries can result from natural and manmade disasters and from everyday accidents. If bleeding is severe, it can kill within minutes, potentially before trained responders can arrive. Uncontrolled bleeding, external or internal, is the most frequent cause of preventable death from injury in patients under the age of 46

14 Uncontrolled Bleeding Providing bystanders with basic tools and information on the simple steps they can take in an emergency situation to stop life-threatening bleeding can save lives.. Bystanders are now called immediate responders

15 Public Access Kits Similar to the use of CPR/AEDs, improving public awareness about how to stop severe bleeding and expanding personal and public access to Bleeding Control Kits can be the difference between life and death for an injured person.

16 Public Education Similar to the use of the Stop, Drop, and Roll fire safety education campaign, improving public education about how to stop severe bleeding and expanding personal and public access to Bleeding Control Kits can be the difference between life and death for an injured person.

17 National Preparedness Shared responsibility of: all levels of government private and non-profit sectors individual citizens Hartford Concensus call for increased national resilience

18 Hemorrhage Control Initiative Goals of initiative: build national resilience by empowering the general public to be aware of the simple steps that can be taken to stop or slow life threatening bleeding promote the general public s access to Bleeding Control Kits in public spaces, while they travel, and in the home.

19 Role of Surgeons Surgeons not only have the opportunity to use life-saving skills in the acute setting, but additionally may use there knowledge and skills in an educational platform to help spread this important information.

20 Athletic Training Initatives NATA working to build awareness, implement and accelerate this initiative. For more information on these efforts and how become involved in the Stop the Bleed campaign, visit: dhs.gov/stopthebleed

21 Athletic Training Initatives University of Georgia sports medicine program implemented several initiatives based upon the Stop the Bleed campaign. Public service announcement (PSA) Bleeding Control for the Injured (B-CON) course Hemorrhage control kits

22 Stop the Bleed PSA Features UGA student-athletes, coaches, and medical staff members Produced in-house Shown on jumbotron at UGA athletic events

23 Stop the Bleed PSA password - UGAPSA

24 B-CON Course B-Con course, offered by the National Association of Emergency Medical Technicians (NAEMT) teaches participants basic life-saving medical interventions: bleeding control with a tourniquet bleeding control with gauze packs or topical hemostatic agents opening an airway to allow a casualty to breathe

25 B-CON Course All athletic training staff participated in the B- CON lecture/lab course. Athletic training education curriculum at UGA includes a EMT class for all first year undergraduate students and first year graduate assistants. B-CON course added to EMT class curriculum.

26 Hemorrhage Control Kits Quantity: Description: 2 pair nitrile gloves (large) 1 serrated emergency shears 1 QuikClot Combat Gauze (vacuum packed, Z-folded hemostatic gauze) 1 QuikClot Advanced Clotting Sponge 1 6 Hemorrhage Control Bandage 1 C-A-T Combat Application Tourniquet

27 Hemorrhage Control Kits Coordination with UGA Office of Emergency Preparedness PARMC purchased kits for all patrol cars for law enforcement in our community

28 Combat Application Tourniquet (CAT) CAT tourniquet selected because it is carried on all Georgia ambulance units

29 Other Activities Stop the Bleed article featured in June 2016 edition of NATA News Stop the Bleed presentation at 2016 NATA Clinical Symposia & AT Expo in Baltimore, MD Richard Hunt,MD; David Sailors,MD; Jim Thornton,ATC; Ron Courson,ATC NATA athletic trainers working to develop on-line continuing education Stop the Bleed course for certified athletic trainers Acquire a free licensing agreement from the Department of Defense for use of the Stop the Bleed logo. request for a licensing agreement to Ramin Khalili ramin.a.khalili.ctr@mail.mil

30 Stop the Bleed STB Instructors 18,220 Registered classes Registered Attendees 162,100 University of Georgia Sports Medicine

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