TY - JOUR
T1 - Video-Based Stop the Bleed Training
T2 - A New Era in Education
AU - Narayan, Mayur
AU - Chandramouli, Mathangi
AU - de Angelis, Paolo
AU - Gupta, Aakanksha
AU - An, Anjile
AU - Dominguez, Maureen
AU - Zappetti, Dana
AU - Winchell, Robert J.
AU - Barie, Philip S.
N1 - Funding Information:
The authors acknowledge the support of the leadership, faculty, and administrative staff of the Joan and Sanford I. Weill Medical College of Cornell University for their help in organizing the course.
Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/12
Y1 - 2022/12
N2 - 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.
AB - 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.
KW - Bleeding control
KW - Preventable death
KW - Remote learning
KW - Stop the bleed
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U2 - 10.1016/j.jss.2022.07.014
DO - 10.1016/j.jss.2022.07.014
M3 - Article
C2 - 36087350
AN - SCOPUS:85137276204
SN - 0022-4804
VL - 280
SP - 535
EP - 542
JO - Journal of Surgical Research
JF - Journal of Surgical Research
ER -