TABLE 1.
Public access bleeding control program implementation considerations quick reference
| Bleeding control kit contents |
| Gauze (hemostatic gauze is preferred) |
| Pressure dressings |
| Commercial tourniquet (CoTCCC approved TQ is recommended) |
| Latex‐free medical gloves |
| Just‐in‐time instructions (from reputable source) |
| Trauma shears |
| Bleeding control kit packaging |
| Packaging is clearly labeled |
| Obtain free DOD license for use of Stop the Bleed logo |
| Packages are easy to open |
| Cabinet mounting systems are compliant with local code requirements |
| Optional additional equipment |
| Medical tape |
| Permanent marker |
| Vented chest seal |
| Hypothermia blanket |
| Nasal airway |
| Kit placement considerations |
| Conduct a hazards vulnerability assessment to determine kit placement |
| For areas of large gatherings, consider being able to care for up to 20 victims |
| Consider co‐locating kits with automated external defibrillators |
| Areas where traumatic injuries are likely to occur |
| Clearly labeled signage |
| Identification of kit locations in a database |
| Public safety individual kits |
| Standardization/parity of equipment (type of tourniquet, etc) |
| Consider streamlined supply/resupply processes |
| Educational programs |
| Selection of bleeding control education program curriculum |
| Identify the group(s) responsible for public bleeding control education in the community |
| Courses should teach content consistent with SBEC guidelines that ideally include hands on components |
| Consider training collaborations with local EMS, trauma centers and service organizations |
| Ensure consistency between training programs and the contents of local kits |
| Program oversight and administration |
| Identify a lead agency for bleeding control program coordination |
| Ensure compliance with local/state regulatory requirements, including possible need for medical direction |
| Designate the individual(s) responsible for routine equipment checks and resupply |
| Be familiar with the state's Good Samaritan laws as they relate to bleeding control |
| Funding opportunities (both public and private) should be sought for program initiation and sustainment |
| Bleeding control kit use, and program impact should be monitored and periodically reviewed |
aQuantities may vary by program.
Abbreviations: CoTCCC, Committee for Tactical Combat Casualty Care; DOD, Department of Defense; EMS, emergency medical services; SBEC, Stop the Bleed Education Consortium; TQ, tourniquet.