ACS, the Committee on Trauma, and the Hartford Consensus

Stop the Bleed Save a Life

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Dallas 'Stop the Bleed' Classes Aim to Save Lives
NBC DFW, October 31, 2016

“In some cases, an injured person could bleed to death in three minutes while trauma professionals estimate it could take five to eight minutes for the arrival of paramedics to administer life-saving aid. Rees-Jones Trauma Center at Parkland Memorial Hospital is now offering free classes to teach community members how to ‘Stop the Bleed.’”

Cincinnati officers to carry new tourniquet
WKRC, October 28, 2016

“UC doctors Edward Otten, Brian Gavitt, and Jay Johannigman are bringing the battle tested device to Cincinnati streets to save lives. Tourniquets sound almost too simple to change lives to the degree of CPR, but that's exactly what’s happening.”

Parkland Trauma Team Provides ‘Stop the Bleed’ Training to the Community
EMS World, October 27, 2016

“‘A victim who is bleeding from an artery can die in as little as three minutes,’ says Alexander Eastman, MD, Medical Director and Chief of the Rees-Jones Trauma Center at Parkland and Assistant Professor of Surgery at UT Southwestern Medical Center. ‘Serious bleeding from an extremity is the most frequent cause of preventable death from an injury. Life-threatening bleeding warrants immediate interventions and in most cases the person who can provide that immediate care is not a trained healthcare provider or first responder. Everyone can save a life when minutes count.’”

A New Measure to Save Lives: Stop the Bleed Campaign
EDM Digest, October 23, 2016

“In the last few years, the United States has seen a tragic increase in active shooter situations resulting in the loss of life for individuals shot during these situations. Many victims die because they cannot get the medical assistance they need due to the delay between paramedics arriving on scene and the police clearing the building.

A new campaign under the framework of the American Red Cross’s CPR training initiatives hopes to change that. The Department of Homeland Security’s Stop the Bleed Campaign is a new concept that teaches bystanders how to quickly care for shooting victims until professional emergency help can arrive.”

‘Stop The Bleed’ Campaign Could Save Lives
CBS4, October 12, 2016

“Beginning Wednesday, following the CBS hit show “Code Black,” members of the cast will spread the word about life-saving tools in a new Public Service Announcement…It is part of a White House initiative that puts the knowledge of first responders into the hands of the public using the bleeding control kits. Much like CPR devices and AED kits are readily available in places like airports, shopping malls and businesses, the kits will also be easily accessible in case of an emergency.”

Stop the Bleed: Not Just a Buzzphrase, Good Public Health Policy
Journal of Emergency Medical Services, October 10, 2016

“Shortly after the tragedy at Sandy Hook Elementary in CT., a Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty and Active Shooter Events was convened by the American College of Surgeons (ACS) and attended by many other private and public agencies. The committee’s recommendations are called The Hartford Consensus, and currently consist of four reports. One of those is The Hartford Consensus III: Implementation of Bleeding Control with the primary principle that no one should die from uncontrolled bleeding, and that laypersons can be effective “immediate responders” to mass casualty incidents, provided they have access to training and the basic equipment necessary to address life threatening hemorrhage.”

"Code Black" to promote new White House initiative, "Stop the Bleed," in a "CBS Cares" PSA to be broadcast Wednesday, Oct. 12 following an all-new episode
, October 10, 2016

“STOP THE BLEED was developed to teach the public how to save lives by taking specific actions to stop life threatening bleeding. As part of the initiative, Bleeding Control Kits, which include items such as gloves, bleeding control dressing and a tourniquet, are being placed in public spaces to be used in case of emergency. The kits are displayed and demonstrated in various episodes of ‘Code Black.’”

'Stop the Bleed' training offered to public to help save lives during emergencies
KOMO News, October 8, 2016

“Mass casualty events like mass shootings, natural disasters, and terrorist attacks can happen at anytime and anywhere.
Critical training through the nationwide Stop the Bleed campaign is now being offered to the public locally in an effort to help save lives during emergency situations.”

‘Stop the Bleed:’ Movement trains bystanders to help during shootings, emergencies
Seattle Times, October 8, 2016

The weekend sessions were part of Stop the Bleed Washington, a local and national effort to prepare more people to respond to the shootings, bombings and other threats that have become a part of American life.

A movement to train bystanders [in bleeding control] began after the 2012 shootings at Sandy Hook Elementary School in Newtown, Conn., resulting in the Hartford Consensus, a series of expert recommendations led by the American College of Surgeons. A White House summit in 2015 accelerated the momentum.

TAA Fire Department Adds More First Aid Kits to #StopTheBleed
October 7, 2016

In a nationwide campaign by the Department of Homeland Security to raise awareness about preventing death from blood loss in emergency situations, the Tucson Airport Authority Fire Department has recently installed twelve first aid kits to its jurisdiction to "Stop the Bleed."

New Program Teaches Bystanders How To Stop Bleeding and Save Lives
Houston Public Media
, October 4, 2016

A program in Fort Worth that’s teaching civilians how to stop bleeding in emergencies – like shootings, terrorist attacks and traffic accidents. It’s part of a national effort.

National preparedness month fair hosted in Montgomery County
, September 22, 2016

“Virginia Schad, who is an emergency nurse at Suburban Hospital, says it's important to educate people about bleeding control…‘Bleeding control is important because you can bleed to death in about three minutes, and in a lot of the mass shooting and mass casualty incidents over the past several years, they've found that people are bleeding to death before the scenes can be cleared by squad and deemed safe for emergency personnel to enter,’ Schad said.”

New Website Created to Inform Public About Bleeding Control
EMS World
, September 21, 2016

“The American College of Surgeons and the Hartford Consensus have launched a new website that aims to provide a one-stop online resource for users to learn about bleeding control. provides diagrams, news, videos and other resources with the goal of giving information to the public to learn proper bleeding control techniques.”

Here's What to Do in a Bleeding Emergency
Live Science
, September 15, 2016

“In addition, special bleeding control kits — containing items such as gauze and tourniquets — could be placed in public areas, similar to the placement of automated external defibrillators (AEDs), [Dr. Matthew] Levy and his co-author, Dr. Lenworth Jacobs, the director of the Hartford Hospital Trauma Institute in Connecticut, wrote in an opinion piece published today (Sept. 15) in the journal JAMA Surgery.”

Better Training and Techniques Since 9/11 Save Lives
US News and World Report, September 9, 2016

“Groups such as National Association of Emergency Medical Technicians and the American College of Surgeons make instructional materials available free online so qualified instructors can train police officers and the public in bleeding control.”

Is B-CON the Next CPR?
Cypress Creek EMS News, September 7, 2016

“Since a person with a compromised artery can bleed out and die in less than 5 minutes, it’s critically important that the first person to arrive on the scene knows what to do. But, even before a police officer, firefighter or medic arrives on the scene, there is usually a civilian there. Sometimes, it’s the eyewitness who called 9-1-1. Obviously, they are already on the scene. So, what if they knew what to do until the medics arrive?

That’s the thinking behind the Stop the Bleed Campaign which is endorsed nationally by the White House and the Department of Homeland Security and is being promoted in the greater Houston area by the South East Texas Regional Advisory Council (SETRAC). SETRAC is one of 22 Regional Councils in Texas that unites EMS professionals, hospitals, and civic leaders to advance emergency medicine and preparedness.”

Mesa school trains for the worst: To 'Stop the Bleed'
Arizona Republic, September 3, 2016

“A national campaign called Stop the Bleed, backed by the U.S. Department of Homeland Security, is designed to empower individuals to act quickly and save lives.”

VIDEO: Health First, Brevard County Sheriff’s Office Team Up To Save Lives With ‘Stop the Bleed’
Space Coast Daily
, September 1, 2016

“‘Stop the Bleed’ is a nationwide campaign to empower individuals to act quickly and save lives.

Health First trauma providers and the Brevard County Sheriff’s Office have teamed up to offer hands-on courses teaching basic life-saving interventions such as using pressure, tourniquet application and hemostatic agents. Class includes a free tourniquet for each participant.”

More News

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'Stop the Bleed': Schools learn life-saving technique for mass casualty situation
WTAE, August 24, 2016

“A new initiative called ‘Stop the Bleed’ is teaching students and teacher how to recognize and treat severe injuries before first responders arrive.”

In new protocol, Springfield-area medics won't always wait for all-clear
Springfield News-Leader, August 24, 2016

“In 2013, the American College of Surgeons brought together leaders in the medical, law enforcement, fire/rescue and EMS communities for a conference in Hartford, Connecticut. That group published a paper entitled “Improving Survival from Active Shooter Events.”

The Hartford group pushed for fire, EMS and law enforcement agencies to work together to develop plans before these large-scale disaster scenarios, so they are prepared.”

Donations to allow police department to obtain medical supplies
The Gazette, August 19, 2016

“[Nora] Royer [MD, FACS,] said the American College of Surgeons has recommended equipping local first responders with the supplies necessary to safely control bleeding from traumatic injuries, especially given the rise of mass casualty and mass shooting incidents.

‘In every city where tourniquets have been made available, lives have been saved,’ Royer said Friday.”

Military doctors urge widespread hemorrhage control education
Military Times, August 19, 2016

“At the same time the IOM was asked to study the feasibility of an integrated trauma system, the Department of Homeland Security rolled out a ‘Stop the Bleed’ campaign to encourage citizens to learn proper tourniquet techniques and promote the availability of tourniquets in public spaces.”

Active-Shooter Response Kits Provided to Arkadelphia Area Schools, August 12, 2016

“The kind of supplies that have saved soldiers' lives overseas are finding a home in schools in central Arkansas. 

The Active-Shooter Response Kits (ARK), used in-case of school shootings or mass trauma events, will help bring an added sense of security to schools in the Arkadelphia area.”

Stop the Bleed: The Value of Tourniquets, August 10, 2016

“According to the CDC, uncontrolled post-traumatic bleeding is the leading cause of potentially preventable death among trauma patients.  A new program: ‘Stop the Bleed’, through the Department of Homeland Security has been developed and initiated.  Doctors and nurses have taken to the streets to train individuals on how to use a new accessory in the public arena: a ‘severe bleeding kit.’ It's part of a national movement, encouraged by the White House, to make tourniquets commonplace in schools, stadiums, airports, malls and other places to reduce casualties from mass attacks and bombings.”

Tech Doc: Treatment lessons learned from mass shootings
Lubbock Avalanche-Journal, August 8, 2016

“The unfortunate upsurge in mass shootings in the United States has focused a lot of attention on how to reduce the number of lives lost in each of these tragic events. Following the shooting at Sandy Hook elementary, a group of first responders, law enforcement personnel and government officials teamed with the American College of Surgeons to develop a strategy to improve the response to these events. This group developed the Hartford Consensus, which summarized the essential steps of responding to a mass shooting under the acronym THREAT.”

Tourniquet Helped Save Shot Chicago Cop
Chicago Tribune, July 24, 2016

“The wounded officer was able to apply a tourniquet to his leg with the help of his partner, probably saving his life, Johnson said. The officer had received training in emergency medical treatment, Johnson said.”

Stop the Bleed: Police tourniquet training aims to save lives
WFAA, July 22, 2016

“A program called Stop the Bleed started in other parts of the country following the shooting at Sandy Hook Elementary School. Trainings here in North Texas began days after the Dallas police shooting—not as a result, but there is certainly an urgency to get more officers in the classroom.”

“Since training began last week, more than 100 Baylor officers and security guards have learned how to apply tourniquets out in the field in order to stop bleeding in mass shooting or disaster situations.”

La Porte Hospital provides sheriff's department officers with trauma kits
Herald Argus, July 20, 2016

“La Porte Hospital today presented the La Porte County Sheriff’s Department with equipment that may ultimately help save the lives of officers or other victims of injuries that cause massive blood loss.

The High Risk Individual Trauma Kits (HR-ITKs) contain tourniquets, special badges, and dressing that contains materials to clot blood and stop life-threatening bleeding from severe traumatic wounds, such as gun shots or stab wounds.”

JOHN DOHERTY: Pressure on to 'stop the bleed'
Times of Northwest Indiana, July 18, 2016

“On Friday, in the midst of its annual national meeting, the National Athletic Trainers’ Association (NATA) partnered with Dr. Richard Hunt, Senior Medical Advisor for National Healthcare Preparedness Programs at the US Dept. of Health & Human Services, to promote a new Department of Homeland Security campaign, with no cliché intended: ‘Stop the Bleed.’”

Off-duty Chicago cop helps cyclist after crash
Chicago Tribune, July 3, 2016

“Hayes, a 16-year veteran, managed to collect his thoughts, retrieve a medical kit from his car and apply a pressure bandage on the victim’s neck.”

“Sunday’s accident was the first time Hayes said he had to render aid. He credits medical techniques he learned from a voluntary first-aid course for Chicago police officers.”

Medical services ready in case of mass shooting in Phoenix
Ahwatukee Foothills News, July 2, 2016

“The Department of Homeland Security, through its Stop the Bleed campaign, says bystanders are often the first on scene. The website offers instructions on how to control bleeding, tourniquet application and additional resources.”

They’re simple and cheap. But do tourniquets save lives after mass shootings?
PBS NewsHour, June 25, 2016

“Even before Orlando, the White House was boosting a ‘Stop the Bleed’ campaign promoting tourniquets. And two days after the tragedy, the American Medical Association voted to adopt a new policy calling for first responders to carry kits that include tourniquets, and calling for the general public to be trained in bleeding control.”

Free tourniquet training open to the public
9News/KUSA, June 19, 2016

“In an active shooter situation, there can sometimes be a delay when law enforcement secures the scene and when first responders are allowed to enter and care for the injured,’ Assistant Chief Justin Harper, Denver Paramedics said in a press release. ‘When someone is injured and bleeding, it can take as little as three minutes for it to become a life-threatening situation. Because minutes count, we want to teach community members how to respond to a life-threatening bleeding injury should they ever be in an emergency situation like the one that occurred in Orlando.’”

With Active-Shooter Events on the Rise, Advocates Say Everyone Should Know How to Stop Bleeding
U.S. News & World Report, June 14, 2016

“The realization that many people are dying who might be saved prompted Jacobs, a leader of the American College of Surgeons, to propose that the world's largest surgeons' organization take action. The group formed a committee made up of representatives of government, law enforcement, defense and medical officials to develop a national policy designed to increase survival from active shooter and mass casualty events.”

“With backing from the White House, the group drew up what is now known as the Hartford Consensus. The goal is to extend lessons learned from roughly 7,000 combat fatalities over the last decade to mass casualty events on the home front. To achieve it, they launched a national campaign called the Stop the Bleeding Coalition, made up of organizations as diverse as the American Academy of Pediatrics and the U.S. Department of Homeland Security, many dedicated to public safety.”

Trauma Leaders offer training for bleeding control
KXAN, May 9, 2016

“The training by the Texas EMS, Trauma & Acute Care Foundation will provide the community with lessons on tourniquet use. The CEO of the foundation, Dinah Welsh, said they have made ‘a commitment to promote the National Stop the Bleed campaign, which empowers individuals to act quickly and save lives in an emergency.’”

The average bystander won't know how to control bleeding
Reuters, April 19, 2016

"Regarding a mass shooting, 75 percent of people randomly selected to consider this scenario said they would try to give first aid if it seemed safe to do so, according to a report in the Journal of the American College of Surgeons."

Sherman gives local public safety departments mass trauma bags
Chicago Tribune, January 22, 2016

“Williams said the group used the Hartford Consensus as a model for its work and has developed a series of classes based on those offered by the National Association of Emergency Medical Technicians to provides basic medical training for all first responders involved in mass shooting incidents.

He explained the Hartford Consensus is a committee of medical professionals that formed in the aftermath of the mass shooting in December 2012 at Sandy Hook Elementary School in Newtown, Conn. to look at enhancing survival in such situations.”


Fighting Terrorism With Tourniquets
The Atlantic, November 20, 2015

“The idea that these techniques could be transferred from the military to the civilian sphere has gained momentum in the United States since the 2012 slaughter of 20 schoolchildren and six adults in Newtown, Connecticut, according to E. Reed Smith, the co-chairman of the Committee for Tactical Emergency Casualty Care (C-TECC), a volunteer organization composed of civilian and military medical experts. Four months after the Newtown shooting, the American College of Surgeons founded the Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass-Casualty and Active Shooter Events. The result has been a series of conferences producing what has become known as the Hartford Consensus: a collection of recommendations centered on the principle that ‘no one should die from uncontrolled bleeding.’ In a July article in the Bulletin of the American College of Surgeons, the Joint Committee argued that “bystanders” should instead be thought of as ‘immediate responders,’ and that first-aid courses should include lessons on how to properly apply tourniquets. The same principles underlie the White House’s ‘Stop the Bleed’ campaign, launched in early October.”


Marathon bombing prompts police to carry tourniquets
USA Today, April 12, 2014

“While the Boston tragedy served to accelerate the new equipment distribution, the series of mass-casualty shootings — especially the 2012 Connecticut elementary school massacre — started an examination last March of crisis response led by the American College of Surgeons, the FBI, the Major Cities Chiefs Association and other groups.

That review resulted in a July publication known as the Hartford Consensus, named for the groups' initial meeting location, that offered strategies for how best to increase victims' survivability in mass-casualty events, emphasizing hemorrhage control and the application of tourniquets by first-responding officers.”

Reviving a Life Saver, the Tourniquet
New York Times, January 19, 2014

“In June, the Hartford Consensus reported that ‘hemorrhage control’ was one of the most important factors in saving lives after mass casualties occur. Four months later, the Major Cities Chiefs Association, a group of police commissioners from the 63 largest urban cities in the nation, unanimously endorsed guidelines to equip police officers with tourniquets.”


Editorial: Epidemic of mass-casualty events inspires new EMS rules
St. Louis Post-Dispatch, December 17, 2013

“Dr. Lenworth Jacobs is a trauma surgeon who created The Hartford Consensus, which brought together eight experts in emergency medicine, military and law enforcement after the Newtown shooting to try to find better ways to respond.

Dr. Jacobs was the lead author of a paper issued by the group, which said it hoped the plan would be a blueprint for towns and cities to use as a starting point for coordinating emergency response efforts.”

New ‘Active Shooter’ Protocol: Despite Danger, Stop The Bleeding Faster
WBUR, December 9, 2013

“In the wake of the Sandy Hook Elementary School shooting nearly a year ago, a group of medical, military and law enforcement experts, commissioned by the American College of Surgeons, convened to answer a burning question: How do you increase survival in such mass attacks?

That ‘Hartford Consensus’ group issued its initial concept document just 10 days before the Boston Marathon bombings in April, said Dr. Lenworth Jacobs, a trauma surgeon at Hartford Hospital. The much-admired emergency response to the marathon attack only bolstered the group’s findings. Support grew, and federal authorities — Homeland Security and FEMA — adopted the Hartford-based protocols in September, he said.”

In Mass Attacks, New Advice Lets Medics Rush In
New York Times, December 7, 2013

“‘These events like the shootings are usually over in 10 to 15 minutes, but it often takes over an hour for everyone to get there,’ said Dr. Lenworth Jacobs, a trauma surgeon who created the Hartford Consensus, which brought together experts in emergency medicine and officials from the military and law enforcement after the Newtown shooting to determine better ways to respond to mass casualties.

‘We’re seeing these events in increasing frequency, and unfortunately we have to change how we approach them to keep death tolls down,’ Dr. Jacobs said.”

Tourniquets Gain New Respect
Wall Street Journal, October 22, 2013

“After the Newtown shooting, Dr. Jacobs was among the medical experts asked by the American College of Surgeons and the Federal Bureau of Investigation to draft recommendations for the best way to respond to such events. Those recommendations, called the Hartford Consensus, included a call for wider use of tourniquets.”

FEMA Adopts Active-Shooter Guidelines Calling For 'Warm Zones,' Tourniquets
Hartford Courant, October 21, 2013

“The Hartford Consensus was formed after Dr. Lenworth Jacobs, director of trauma and emergency medicine at Hartford Hospital, approached the American College of Surgeons about developing a response to recent mass shootings. Jacobs said he had the idea for the group after the shootings at Sandy Hook Elementary School in Newtown.

In spring this year, the group drafted a rough outline of their plan. A few months later, members developed a more detailed plan, which includes more use of tourniquets and bringing EMS into ‘warm zones’ to more quickly treat the wounded. The plan discussed earlier this month by the American College of Surgeons in Washington D.C.”

Doctors Of 'The Hartford Consensus' Draft Plan To Help Cities, Towns Prepare For Mass Shootings
Hartford Courant, May 27, 2013

“Dr. Lenworth Jacobs, director of trauma and emergency medicine at Hartford Hospital, said the group hopes the plan it is drafting will be a blueprint for each community—something towns and cities would use as a starting point for coordinating emergency response efforts. The short paper that came out of the daylong conference will be published in the June issue of the Bulletin of the American College of Surgeons.”

Death and injuries in Boston evoke war's hard lessons
USA Today, April 16, 2013

“A committee of medical experts from the military, first responders, the FBI and the American College of Surgeons met this month in Hartford, Conn. Citing the Sandy Hook massacre that killed 20 children and six adults, the panel drafted recommendations for improving survival rates in horrific events.”