Active bleeding control pilot
program in India: Simulation training of the community to stop the bleed and
save lives from Road Traffic Injuries - STUDY
Abstract
Introduction
Road Traffic Injuries (RTI) are
one of the toughest public health challenges confronting India. An estimated
40% of RTI deaths are due to uncontrolled bleeding. Stopping the bleeding in
the first few minutes is crucial for meaningful survival considering the delays
between the RTI and definitive trauma care. Our objective was to develop and
implement a lay first responder Active Bleeding Control (ABC) program to help
RTI victims along two high risk corridors using simulation methodology.
Methods
ABC is a multi-partner
collaboration pilot program with government and non-governmental agencies.
Therefore, using EMS and Police geolocation data, two corridors of 50 kms of
highway with high risk of RTI were identified in Medchal district (population
2.5 million) near Hyderabad city, India. In depth interviews with 22 potential
lay first responders were conducted in 2019 to understand the barriers for
helping RTI victims. Simulation training modules were developed using a
step-by-step scenario script and a 90-min curriculum including a video. A low
cost ‘stop the bleed kit’ was developed and distributed among volunteers. Data
collection to capture use cases, barriers and facilitators to program success
is ongoing.
Results
All 22 respondents reported
having witnessed many life-threatening RTI in the area, and had no previous
knowledge, training or skills in bleeding control. 1005 ABC volunteers have now
been simulation trained to stop the bleed. Of these, 162 have self-reported
helping RTI victims on the selected highway corridors. The ABC pilot program
shows that by training lay first responders to assess and arrest bleeding,
passive RTI “by-standers” can be converted into active “try-standers”.
Conclusion
The ABC program has the potential
to create a much-needed community of trained citizens to help save lives from
RTI in India.
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