Brief Training of Technical Bleeding Control Skills—A Pilot Study with Security Forces
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Brief Training of Technical Bleeding Control Skills—A Pilot Study with Security ForcesAuthor(s)
Date
2023-01Citation
Manteiga-Urbón, J.L.; Fernández-Méndez, F.; Otero-Agra, M.; Fernández-Méndez, M.; Santos-Folgar, M.; Insa-Calderon, E.; Sobrido-Prieto, M.; Barcala-Furelos, R.; Martínez-Isasi, S. Brief Training of Technical Bleeding Control Skills—A Pilot Study with Security Forces. Int. J. Environ. Res. Public Health 2023, 20, 2494. https://doi.org/10.3390/ijerph20032494
Abstract
[Resumen] Uncontrolled external bleeding is a common cause of preventable death, and due to the
environment in which these events often occur, e.g., in hostile environments, the state security forces
are usually the first responders, and in many cases, if they are injured their partners provide the
initial assistance. The tourniquet is a fast, effective, and easy-to-learn intervention, although there is a
knowledge gap concerning training techniques. The objective is to evaluate the effectiveness of a
bleeding control training program on a high-fidelity mannequin in a simulated critical situation in a
law enforcement training environment. A quasi-experimental study was carried out with 27 members
of the state security forces. They underwent brief theoretical–practical training and were evaluated
via a scenario involving a critically ill patient in a hostile environment. The results showed that no
member of the state security forces completed all the tourniquet placement steps, 26 (96%) prepared
the tourniquet correctly, 21 (77.8%) placed it on the leg, and all the participants adjusted the band
to the thickness of the injured limb and secured the windlass to the triangular flange of the device.
However, only 23 (85.2%) of the participants placed it effectively. The participants, who were members
of the state security forces, were able to effectively resolve a critical situation with active bleeding in a
simulation scenario with a high-fidelity mannequin after completing theoretical–practical training.
Keywords
Public health
Bleeding
Prevention and control
Extremity injury
Tourniquet
Law enforcement
Learning
Bleeding
Prevention and control
Extremity injury
Tourniquet
Law enforcement
Learning
Editor version
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Atribución 3.0 España