Brauchle - Harrisburg Proposal - Nur 335 Gail Diblasi

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A Proposal for ___________________________________________________

Traumatic injuries have been established as a leading cause of death worldwide. Severe
trauma accounts for more than five million deaths annually (Spahn et el., 2013). In the wake of the
recent Las Vegas tragedy, it is apparent that the first people to respond in a time of crisis are not
necessarily first responders, but bystanders; i.e., the people who are less injured or not injured at all.
Unfortunately, they often lack the knowledge or tools necessary to do so. In one specific study done
on trauma injuries, it was found that about 40% of trauma deaths are due simply to bleeding, which
in turn makes hemorrhage the most common cause of preventable death (Curry et al., 2011). Early
intervention when it comes to hemorrhage can assist in avoidance of a majority of preventable
deaths. Such early intervention can be achieved through proper training and the use of bleeding
control trauma kits. Stop the Bleed kits have been created to provide the tools necessary to stop
hemorrhage. These kits, along with proper training, can be utilized to help bystander to save lives.
Stop the Bleed kits include gloves, gauze, compression bandages, tourniquets, a permanent marker,
bandage scissors, and quik-clot bandages. Kits can be bought for $100 and have a shelf-life of five
years before expiration. Training would include how to properly apply pressure, pack wounds, and
properly apply tourniquets. This training for our bystanders and the providing of kits in public
places would reduce the number of unnecessary hemorrhagic deaths in our communities.
In summary: 1} Over five million trauma deaths annually worldwide; 2} 40% of trauma
deaths are due to hemorrhage; 3} Stop the Bleed kits and training should be made available to public
Proposal
 Stop the Bleed kits and training should be made available to the public. At the very least, a single
Stop the Bleed Kit would be placed where any institution keeps an Automated External
Defibrillators (AEDs).
 Training would be included any time CPR training is provided to the public or first responders,
and renewed every two years with CPR certification renewal.
 Free education sessions would be provided to not only the public, but also school systems. This is
not limited to public schools, but includes any private school and college or university.
 The teaching would be directed towards any student in the 9th grade or above, also including all
teachers. This would also include any school administration staff.
 Health care professionals be certified in Stop the Bleed protocol and have the ability to educate
others regarding the proper use of Stop the Bleed kits.
 Any person who is regarded as a first responder would be required to carry a Stop the Bleed kit in
their vehicle. Any first-responder should carry a tourniquet on their belt, not only for the safety of
the general public but also for their own personal use in the case of emergency.
 Public health clubs, such as any public gym, would be required to have a Stop the Bleed kit and
all employees should be certified in the proper use of the Stop the Bleed kits.

Julianna Brauchle
Phone Number: 610-417-3443
Email: [email protected]

References
Curry, N., Hopewell, S., Dorée, C., Hyde, C., Brohi, K., & Stanworth, S. (2011, March 09). The acute management of trauma hemorrhage: a

systematic review of randomized controlled trials. Retrieved October 09, 2017, from

https://ccforum.biomedcentral.com/articles/10.1186/cc10096

Spahn, D. R., Bouillon, B., Cerny, V., Coats, T. J., Duranteau, J., Fernández-Mondéjar, E., . . . Rossaint, R. (2013, April 19). Management of

bleeding and coagulopathy following major trauma: an updated European guideline. Retrieved October 09, 2017, from

https://ccforum.biomedcentral.com/articles/10.1186/cc12685

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