Archive for May, 2017

During Trauma Awareness Month: A Program to Stop the Bleeding

Wednesday, May 24th, 2017

Dr. Ronald Stewart answers questions about the Stop the Bleed program, which he presented to a Rotary Club in San Antonio this week.

Dr. Ronald Stewart, Chair of the Department of Surgery at the UT Health Science Center San Antonio, has an audacious goal: to teach 200 million people a simple approach to stop life-threatening bleeding. As Chair of the American College of Surgeons (ACS) Committee on Trauma, Stewart is an ambassador for the Stop the Bleed program, a nationwide campaign sponsored by the ACS and the U.S. Department of Homeland Security.

“We want to turn bystanders into first responders,” he explained, as he began his presentation to a roomful of Rotary Club members in San Antonio this week. By remembering the ABC’s of bleeding, people who witness terrible accidents, car crashes, blasts, or shootings can save lives. Uncontrolled hemorrhage is the leading mechanism of death resulting from a traumatic injury.

The ABC’s of bleeding are:

A-Alert (call 911 immediately)

B-Bleeding (locate the source of the bleeding)

C-Compression (apply direct pressure or a tourniquet to stop the bleeding)

“Often people are worried they might hurt the victim they are trying to help,” he said. “But if the victim dies, that’s a moot point.” Dr. Stewart encouraged the audience to act fast and not be afraid. An effectively placed tourniquet is going to hurt, but it’s better to cause a few bruises and save a life, he noted.

Dr. Stewart demonstrates proper placement of a tourniquet.

The very best option is to have a bleeding control kit on hand, which will include a standard tourniquet and sterile hemostatic dressings to use for compression. “But if you don’t have a tourniquet or hemostatic gauze (such as QuikClot or Celox), stuff any gauze or clean cloth directly into the wound and apply pressure,” Stewart instructed. “It’s better to pack the gauze into the wound than to simply hold it on top of the wound.”

“The only thing more tragic than a death is a death that could have been prevented,” said Stewart in urging the audience to learn the technique, purchase bleeding control kits, and spread the knowledge.

Order your Bleeding Control Kit. Contact the ACS Committee on Trauma at 1-877-305-9440 to become a Stop the Bleed trainer.

Trauma News Interview with Stewart and Winchell Captures Gist of Stakeholder Meeting on Zero Preventable Deaths

Tuesday, May 16th, 2017

Suggesting that the messaging surrounding the development of a national trauma system should shift from the traditional public health realm to the realm of national security, Dr. Ronald Stewart and Dr. Robert Winchell elaborated on the outcomes of the April meeting of stakeholders in the NASEM report on a National Trauma Care System published last year.

The broad consensus at the meeting, held in Bethesda, MD, was that “there needs to be a strong central directive, but the details need to be worked out locally,” said Winchell. Following establishment at a federal level, he said, “The actual nuts and bolts of the system would be developed by a broad coalition of the providers of the trauma community.”

Dr. Stewart also noted that trauma deaths occurring before the victim arrives at a hospital need to be explored if the goal of Zero Preventable Deaths after Injury is to be realized. “People recognize that if we’re going to get to zero preventable deaths, we have to know what those deaths are and when they occur. That would impact, for example, where you might put EMS resources or what you might do to improve access.”

Another gap in understanding is long-term outcomes for those suffering trauma. “We need to try to work towards data linkage to get more information on those prehospital deaths and also on long-term outcomes after somebody leaves the hospital or leaves a rehabilitation center,” explained Stewart.

“While you might argue that the NASEM report argues for some major revolutionary changes in how things are done, the practical implementation will in many ways be more evolutionary,” suggested Winchell. ”This effort is not necessarily creating entirely new systems, but leveraging existing initiatives and existing programs in a way that serves the end goal better.”

Attendees agreed that the call to action should be modified to ZPDD: Zero Preventable Deaths and Disability.

Read the article.