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The Role Of A Level 1 Pediatric Trauma Center In A Statewide Stop The Bleed Initiative
Charles Wooley1, Clayton Goddard2, Cheria Lynsey3, *Kirsten Johnston1
1Arkansas Children's Hospital, Little Rock, AR;2Metropolitan Emergency Medical Services, Little Rock, AR;3Arkansas Department of Education, Little Rock, AR

Background (issue):
Evidence demonstrates that 90% trauma-related deaths occur before the casualty reaches a medical treatment facility. With the increase in mass casualty events, it is critical that civilian bystanders have the knowledge and skills to control hemorrhage and save lives. The purpose of this multidisciplinary pediatric trauma education initiative was to form partnerships to build community resilience by teaching life-saving trauma care techniques to school nurses.
Methods:
In 2016, an academic Level I Pediatric Trauma Center partnered with the state-wide tactical emergency casualty care stakeholders group to increase awareness of the need for education to reduce trauma-related preventable deaths in children. A proposal was submitted to the State Board of Education to provide Stop the Bleed Train the Trainer Courses for school nurses. Pre-and post-course assessments were administered to measure comfort levels and knowledge of school nurses to control hemorrhage. Stop the Bleed Kits were provided to school districts who agreed to train 25% of their staff. A bill was introduced into legislation and passed that will require bleeding control training be taught to all high school students.
Findings:
To date, 817 out of 1008 (81%) school nurses in 1054 schools across the State have received Stop the Bleed education. Of those, 792 (75%) schools participated and received public multi-use access kits. School nurses comfort level increased by 61%.
Conclusions (implications for practice):
Building community resilience with a statewide partnership is an effective approach to providing the education to empower civilian bystanders on a large scale to reduce trauma-related preventable deaths in children.


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