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Stopping The Bleed On The Streets:teaching Hemorrhage Control At The Source Of Violence
*Steve Weinman, *Tracy Evans
St. Joseph's University Medical Center, Paterson, NJ

Background (issue): Stop the Bleed (STB) offers training surrounding control of compressible hemorrhage. Despite aggressive marketing, it is impossible to reach the population that needs this training the most, inner-city youth with a high incidence of penetrating injury violence. We therefore sought to bring a modified STB to the streets of Paterson, NJ.
Methods:
Trauma registry data was used to determine those areas of the city with high penetrating trauma rates. Collaborating with a community-based violence intervention program, an informal survey occurred with residents demonstrating a willingness to support this program. We developed “STOPping THE BLEED on the Streets”. This program provides direct practice using both commercial & improvised objects. A bleeding control kit is left behind with a neighborhood leader/business owner who also participates in the session & agrees to shepherd its use. These kits have even been given a street name. “The Kit”.
Findings:
Our clinicians are inundated by the community who eagerly participate. To date we have found nothing less than outstanding youth engagement having trained over 250. When word gets out that the “trauma docs & nurses” are coming, learners are waiting for the team when they arrive.
Conclusions (implications for practice):
We continue to provide regular sessions with many participants being repeat learners. We have also started providing commercial tourniquets to these repeat learners since they have demonstrated a willingness to come back for additional practice & displayed a verbal willingness to help if they see someone injured. We have found this positive reinforcement an affirmation of success.


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