Back to Top Skip to main content

Stop the Bleed: A battlefield innovation on civilian soil

USU's Dr. Craig Goolsby (center) observes as high school students at a conference in Orlando, Florida, practice using a tourniquet after watching a web-based tutorial. Goolsby is researching effective teaching methods as part of a grant to develop a trauma first-aid course for students that incorporates elements of Stop the Bleed. (USU photo by Sarah Marshall) USU's Dr. Craig Goolsby (center) observes as high school students at a conference in Orlando, Florida, practice using a tourniquet after watching a web-based tutorial. Goolsby is researching effective teaching methods as part of a grant to develop a trauma first-aid course for students that incorporates elements of Stop the Bleed. (USU photo by Sarah Marshall)

Recommended Content:

Public Health | Innovation | Medical Research and Development | Emergency Preparedness and Response

A public health campaign called Stop the Bleed builds on lifesaving lessons from military battlefields. The goal is to train Americans of all ages how to successfully respond to bleeding emergencies in traumas from accidents and intentional violence.

"Stop the Bleed is a fantastic way for people to address extremity hemorrhage," said Dr. Craig Goolsby, a former Air Force emergency physician who served two combat tours in Iraq.

Goolsby is vice chair of education in the Department of Military and Emergency Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He's also science director of USU's National Center for Disaster Medicine and Public Health. The center is a collaboration of the Departments of Defense, Health and Human Services, Homeland Security, Transportation, and Veterans Affairs.

"We know that trauma is the leading cause of death for people ages 1 to 44," Goolsby said, citing statistics from the Centers for Disease Control and Prevention. While CPR training teaches bystanders how to respond when someone stops breathing, "We didn’t have anything before Stop the Bleed to teach people what to do for hemorrhaging."

Death from blood loss can occur in as little as five minutes, health care experts say. A USU study estimated that about 500 people in the United States die every year from external hemorrhage, Goolsby said.

The centerpiece of Stop the Bleed is the tourniquet. It's an old-school tool that was revived and championed by Dr. Frank Butler. The now-retired Navy ophthalmologist led the Navy Special Warfare Biomedical Research Program from 1990 to 2004. Battlefield trauma care was part of this program.

The U.S. military used tourniquets during World War II, but they were poorly designed and often didn't work, Butler said. After the war, tourniquet use in both the military and civilian sectors ended. "In fact, medics were taught not to use tourniquets," Butler said.

However, Butler read two research papers that noted the No. 1 cause of preventable death in the Vietnam War was extremity hemorrhage. "An estimated 3,400 American lives were lost from failure to apply tourniquets to arm and leg wounds," Butler said.

His research, and subsequent recommendations from a joint study by special operations medical providers and USU, led to the development of a new approach to battlefield trauma care. Tactical Combat Casualty Care, or TCCC, emphasizes that all personnel in the combat zone should be trained to control external hemorrhage with tourniquets.

"Once an intervention has proven to save lives in combat, you immediately start thinking, could this intervention save lives in the civilian sector as well?" Butler said. He was in the group of physicians, military leaders, and law enforcement officials called the Hartford Consensus. They came together after the shootings at Sandy Hook Elementary School in Connecticut, in December 2012.

The Hartford Consensus advocated for teaching the public how to respond to bleeding emergencies. Their efforts were followed by a White House task force that developed the Stop the Bleed program. It launched in October 2015.

Clint Bond, an Army veteran, is the external and emergency communications director for the Fort Worth Independent School District in Texas. He took the Stop the Bleed course when it was offered by a local health care organization. That organization and a local hospital donated Stop the Bleed kits to the Fort Worth schools, Bond said. The kits include tourniquets, bleeding control and compression bandages, and protectives gloves.

At Bond's urging, all 125 nurses in the Fort Worth school district have received Stop the Bleed training. The nurses, in turn, will train teachers and interested parents.

"Many of these school shooters are using weapons that I'm familiar with from my military days, and they create terrible wounds," Bond said. "We need to be prepared so that if something happens, we're the cavalry, and we'll know what to do until medical help arrives."

However, Goolsby notes, Stop the Bleed's value extends beyond intentional harmful acts. In Massachusetts, first responders have pre-positioned Stop the Bleed kits on remote beaches to aid victims of shark attacks. In Georgia, a school nurse armed with Stop the Bleed training and supplies provided life-saving aid to a fourth-grader who severed an artery in her arm after falling on the school playground.

Through a grant from the Federal Emergency Management Agency, Goolsby is working with the Red Cross to develop a trauma first-aid course for high school students. The course incorporates elements of Stop the Bleed, he said, and will lead to CPR-like certification. It's expected to roll out in 2021.

In what may be thought of as a full-circle moment, Stop the Bleed has led to a DoD-mandated course for service members in non-combatant roles to learn some critical TCCC skills including external hemorrhage control. Tactical Combat Casualty Care for All Service Members, or TCCC-ASM, launched in May.

More information about Stop the Bleed can be found at the Department of Homeland Security and at USU’s Stop the Bleed page.

You also may be interested in...

HIV

Infographic
9/24/2018
HIV

As part of the U.S. military’s total-force HIV screening program, civilian applicants for military service are screened for antibodies to HIV during pre-accession medical examinations. Infection with HIV is medically disqualifying for entry into U.S. military service. Since 1986, all members of the active and reserve components of the U.S. Armed Forces have been periodically screened to detect newly acquired HIV infections.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

HPV

Infographic
9/24/2018
HPV

Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S., and is the second most frequently diagnosed STI in U.S. military service members. Currently, HPV is not a mandatory vaccine for U.S. military service. However, it is encouraged and offered to service members.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

TRICARE DisasterKit 2018

Infographic
9/14/2018
This infographic provides suggestions on items you'll need in the event you have to evacuate your home during a disaster

This infographic provides suggestions on items you'll need in the event you have to evacuate your home during a disaster

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

Hurricane threat's a reminder to be prepared for health care needs

Article
9/12/2018
Ahead of Hurricane Florence, South Carolina National Guard soldiers load gear into a Humvee. Approximately 1,600 Soldiers and Airmen in the state have been mobilized to respond to recovery efforts as forecasters warn of a potential Category 4 storm and a projected landfall near the Carolinas. (U.S. Army photo by Staff Sgt. Erica Knight)

Emergency prescription procedures are in place for some states

Recommended Content:

Emergency Preparedness and Response | Humanitarian Assistance and Disaster Relief

TRICARE Disaster Resources 2018

Infographic
9/12/2018
This infographic provides links to various resources you might need in the event of a disaster.

This infographic provides links to various resources you might need in the event of a disaster.

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

MHS Before A Disaster 2018

Infographic
9/11/2018
This infographic provides a list of items you should have on hand in your basic disaster supplies kit in the event a disaster does strike.

This infographic describes the items you should have on hand in a basic disaster supplies kit, in the event that a disaster should strike.

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

Norovirus

Infographic
8/27/2018
Norovirus

Beginning in 2011, the Operational Infectious Diseases (OID) laboratory at the Naval Health Research Center has undertaken routine surveillance of four U.S. military training facilities to systematically track the prevalence of acute gastroenteritis and to establish its etiologies among U.S. military recruits.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Staphylococcus

Infographic
8/27/2018
Staphylococcus

Staphylococcus: Staphylococcus aureus is a major cause of skin and soft tissue infection (SSTI). Military personnel in congregate settings (e.g., training, deployment) are at increased risk for S. aureus colonization and SSTI. For a 7-month period in 2016, an observational cohort study of S. aureus colonization and SSTI among U.S. Navy submariners was conducted.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

TRICARE Access during an evacuation or natural disaster

Article
8/23/2018
Take Command of your health

Having a disaster preparedness plan for you and your family is a great way to help keep you safe

Recommended Content:

TRICARE Health Program | Humanitarian Assistance and Disaster Relief | Emergency Preparedness and Response

Heat rash is common when the mercury climbs

Article
8/14/2018
Heat rash is common in the warm summer months, but military personnel and amputees may be especially at risk. (Courtesy photo)

Anyone can be affected, including children and adults

Recommended Content:

Conditions and Treatments | Public Health

Drug-monitoring innovations help providers help their patients

Article
8/6/2018
Two Military Health System innovations are helping to ensure best practices for patients with pain, and for patients who’ve been diagnosed with post-traumatic stress disorder. (U.S. Air Force photo by Senior Airman Curt Beach)

Focus is on management of pain and PTSD

Recommended Content:

Innovation | Substance Abuse | Posttraumatic Stress Disorder | Pain Management | Opioid Safety

The things head lice carry: Stigma and hassle, but no harm

Article
7/31/2018
Lice are parasitic insects that can be found on people’s heads, and bodies. Human lice survive by feeding on human blood. (EPA photo)

Lice – a common affliction in school children – are gross but harmless

Recommended Content:

Public Health | Summer Safety | Bug-Borne Illnesses

Acute Injuries

Infographic
7/25/2018
Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury.  This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury. This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Food Allergy

Infographic
7/25/2018
Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military.  First-line treatment for anaphylaxis includes rapid administration of epinephrine.

Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military. First-line treatment for anaphylaxis includes rapid administration of epinephrine.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Helping the healers through the power of mobile technology

Article
7/23/2018
The Provider Resilience app offers health care providers tools to guard against emotional occupational hazards, including compassion fatigue and burnout. An updated version of the app is expected to be released in the fall. (Courtesy photo)

App guards against emotional occupational hazards

Recommended Content:

Technology | Innovation
<< < 1 2 3 4 5  ... > >> 
Showing results 61 - 75 Page 5 of 25

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.