Video-Based Stop the Bleed Training: A New Era in Education.

J Surg Res

Division of Trauma, Burns, Acute and Critical Care, Department of Surgery, Weill Cornell Medicine, New York, New York.

Published: December 2022

AI Article Synopsis

  • - The "Stop the Bleed" program aims to train ordinary people in controlling severe bleeding, which is a major preventable cause of death, and this study examines the effectiveness of video-based training for that purpose.
  • - Participants (106 in total) watched instructional videos on hemorrhage control techniques and showed significant improvements in their confidence levels, going from baseline percentages of 29%, 8%, and 13% in key skills to near-total confidence after training.
  • - The results indicate that video training combined with hands-on assessment is effective, with 98% of participants finding the course helpful and a majority agreeing that it was engaging, suggesting that this approach could help spread life-saving skills to more people.

Article Abstract

Introduction: Uncontrolled bleeding is a leading cause of preventable death. The "Stop the Bleed" (StB) program trains laypersons in hemorrhage control. This study evaluated the efficacy of video-based StB training.

Methods: Participants watched two different videos: a didactic video (DdV) and a technical video (TeV) demonstrating proper techniques for StB skills (i.e., direct pressure [DP], wound packing [WP], and tourniquet application [TA]). Then, they completed a standardized skills examination (SE). Participants were surveyed at three different time points (baseline, post-DdV, and post-SE) for comparison. We compared paired categorical and continuous variables with the McNemar-Bowker test and Wilcoxon signed-rank test, respectively. Alpha was set at 0.05.

Results: One hundred six participants were enrolled: 52% were female and the median age was 23 y (22, 24). At baseline, 29%, 8%, and 13% reported being somewhat or extremely confident with DP, WP, and TA, respectively. These percentages increased to 92%, 79%, and 76%, respectively, after the DdV (all, P < 0.0001). After the TeV and SE, percentages increased further to 100%, 96%, and 100% (all, P < 0.0001). During the SE, 96%, 99%, and 89% of participants were able to perform DP, WP, and TA without prompting. Among participants, 98% agreed that the video course was effective and 79% agreed that the DdV and TeV were engaging.

Conclusions: We describe a novel paradigm of video-based StB learning combined with an in-person, standardized SE. Confidence scores in performing the three crucial StB tasks increased significantly during and after course completion. Through remote learning, StB could be disseminated more widely.

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Source
http://dx.doi.org/10.1016/j.jss.2022.07.014DOI Listing

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Introduction: Traumatic hemorrhage is a leading cause of preventable mortality worldwide. The Stop the Bleed (STB) course was developed to equip layperson bystanders with basic bleeding control knowledge and skills. However, large in-person courses have been disrupted due to COVID-19.

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Video-Based Stop the Bleed Training: A New Era in Education.

J Surg Res

December 2022

Division of Trauma, Burns, Acute and Critical Care, Department of Surgery, Weill Cornell Medicine, New York, New York.

Article Synopsis
  • - The "Stop the Bleed" program aims to train ordinary people in controlling severe bleeding, which is a major preventable cause of death, and this study examines the effectiveness of video-based training for that purpose.
  • - Participants (106 in total) watched instructional videos on hemorrhage control techniques and showed significant improvements in their confidence levels, going from baseline percentages of 29%, 8%, and 13% in key skills to near-total confidence after training.
  • - The results indicate that video training combined with hands-on assessment is effective, with 98% of participants finding the course helpful and a majority agreeing that it was engaging, suggesting that this approach could help spread life-saving skills to more people.
View Article and Find Full Text PDF

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