Stop the Bleed Washington

Will you be ready?

A person who is bleeding can die from blood loss within five minutes. Emergency responders will arrive as quickly as possible, but bystanders are almost always there first. In the case of disaster and high casualty incidents, emergency services are often spread thin. Will you be ready?

Blood loss is the leading cause of preventable death in multiple casualty events, like mass shootings, terrorist attacks and earthquakes. Significant external bleeding can also result from everyday events such as a motorcycle crash, or industrial accident. Rapid control of bleeding at the scene of the event can be life-saving.

We’ve teamed up with Harborview Medical Center, the American College of Surgeons Washington State Committee on Trauma, and Seattle and King County EMS to ensure that:

  • Bystanders have skills and knowledge to provide immediate bleeding control to victims at the scene of an event.
  • Bleeding control supplies are located in all public gathering locations next to Automated External Defibrillators (AEDs).
  • Bleeding control education is incorporated into our schools and workplace.
  • People know what to do in an active shooter situation

Mass casualty events can happen anytime and anywhere. At your workplace, at the game, during your commute, or even at your house. This free Stop the Bleed training will equip participants with the knowledge to save lives.

Enroll in a Class

Thank you for your interest in helping us Stop the Bleed. Upcoming training opportunities or listed below, or visit BleedingControl.org to search for other classes in Washington and beyond.

Please be aware that Stop the Bleed classes may include images or depictions of injuries and emergency scenarios as training tools.

Harborview Medical Center in Seattle:

Join the Stop the Bleed WA Waiting List to be notified when new course options become available.

Stop the Bleed courses at Harborview Medical Center generally run monthly from September-May.

For questions about Stop the Bleed WA or to have your Stop the Bleed courses listed here, contact Maria Paulsen, RN, Trauma Outreach Education Coordinator at Harborview Medical Center

Phone: (206) 744-5435
Email: mruoff@uw.edu

Other Washington classes:

Use the interactive map below to find Washington Stop the Bleed training courses near you. Click the location for more information on dates, registration, and contacts. To search by ZIP code, visit the national Stop the Bleed list.

Course Description: General Bleeding Control for Trauma

Our free 2.5 hour course teaches basic life-saving medical interventions, including a brief Active Shooter preparedness presentation and methods to control bleeding. Taught by practicing trauma surgeons, the course was developed in response to the call from the U.S. Department of Homeland Security and the Hartford Consensus to improve survival during active shooter and other mass casualty events. In these circumstances, survival begins with bystanders.

Upon completion, participants will be able to:

  • Understand the principles of your response during an active shooter event.
  • Describe the progressive strategy for controlling hemorrhage.
  • Demonstrate wound packing and learn about topical hemostatic dressings.
  • Explain the rationale for early use of a tourniquet for life-threatening extremity bleeding.
  • Demonstrate the appropriate application of a tourniquet to the arm and leg.

This course is based on a curriculum developed by National Association of Emergency Medical Technicians and modified and taught by trauma surgeons from UW Medicine’s Harborview Medical Center.

If you have any questions, please contact us at TraumaED@uw.edu.

Everyone! Learning to control bleeding is an essential skill that anyone can apply to save lives, just like CPR. In particular, these skills are important for non-tactical law enforcement, firefighters, security personnel, emergency coordinators and teachers. In addition, we recommend that all workplaces have multiple employees trained in bleeding control.

Individuals with medical experience such as EMTs, paramedics, nurses, nurse practitioners, physicians, physician assistants, medical students, nursing students and athletic trainers can teach this course. To learn more, visit Stop the Bleed’s instructor registration.

We will work with you to develop a program for your workplace. We will prepare your trainers, emergency coordinators, or other qualified individuals to provide bleeding control training.

If you have any questions, please contact us at TraumaED@uw.edu, and we will get back to you as soon as possible.

How to Use a Tourniquet

Video presented by The Hartford Consensus.

Bleeding Control Basics

In recognition of the growing threat of mass casualty events and the need for enhanced training of bystanders to manage life threatening bleeding in these situations, we encourage the installation of bleeding control kits in public buildings in King County where large numbers of people gather. These kits will provide the tools to allow immediate management of life-threatening hemorrhage until EMS providers can arrive. Events such as the Boston Marathon bombings and recent mass shootings highlight the need for increased availability of effective, commercial tourniquets as improvised tourniquets are often ineffective and can make bleeding worse if arterial inflow is not occluded.

A bleeding control kit contains the essential medical equipment and supplies required to save a life in the event of immediate, life threatening bleeding. A kit can be designed for a personal or home situation or for a larger more public venue.

Each kit should contain these basic items:

  • Gloves
  • Packing gauze
  • Compression bandage
  • Tourniquet
  • Marking pen

Public access kits should contain supplies to treat at least 8 casualties, they may also include specialized packing materials that have been treated to accelerate the clotting process to stop hemorrhage as quickly as possible. They may also include some devices to help move patients in an emergency situation.

Large multi-person commercial bleeding control kits should be mounted in all public access areas including but not limited to those listed below:

  • Schools / College campuses
  • Businesses
  • Airports
  • Train stations
  • Movie theaters
  • Stadiums/arenas
  • Concert halls
  • Courthouses
  • Shopping malls
  • Libraries

Bleeding control kits should be mounted right next to all existing Automatic Defibrillators (AED)

A personal or smaller kit can be kept in or along with your emergency or disaster supply bag or kit, in your car, with your camping gear, etc.

Everyone should learn Stop the Bleed skills.

Uncontrolled bleeding injuries can result from natural and manmade disasters and from everyday accidents, as well as from catastrophic and terrorist incidents. If this bleeding is severe, it can kill within minutes, potentially before trained responders can arrive. Bystanders who have been provided with basic tools and information on the simple steps they can take in an emergency situation to stop life threatening bleeding can save lives.

Research has shown that bystanders, with little or no medical training, can become heroic lifesavers. Similar to the use of CPR or automatic defibrillators, improving public awareness about how to stop severe bleeding and expanding personal and public access to bleeding control kits can be the difference between life and death for an injured person.

There are several commercial kits available online, including an online bleeding control store by the American College of Surgeons. We do not otherwise endorse any specific company, but a quick internet search for bleeding control kits, hemorrhage control kits, or tourniquets will yield several companies that can supply you with either pre-made kits and supplies or individual products so you can assemble your own kit.

You can purchase a premade/prestocked kit or you can purchase the items individually and put together your own kit.

When purchasing your own individual tourniquets, we would recommend either the CAT (Combat Application Tourniquet) or the SOFT-T Wide (Special Operations Forces Tactical Tourniquet Wide).

SOF® Tactical Tourniquet Wide (Special Operations Forces Tactical Tourniquet)

CAT® (Combat Application Tourniquet)

Improvised tourniquets are rarely as effective as commercially manufactured tourniquets, because they cannot be tight enough to actually stop the bleeding, especially in arterial injuries. As a matter of fact, often these improvised tourniquets can make the bleeding worse by prevention venous return.

Belts cannot be tightened enough, rope or string is too thin to actually stop arterial bleeding and will cause more tissue damage.

When purchasing your own individual tourniquets, we would recommend either the CAT (Combat Application Tourniquet) or the SOFT-T Wide (Special Operations Forces Tactical Tourniquet Wide).

SOF® Tactical Tourniquet Wide (Special Operations Forces Tactical Tourniquet)
CAT® (Combat Application Tourniquet)

If you have any questions, please contact us at TraumaED@uw.edu.

‘A Perfect Stranger’ tells the story of Kinneil and Angelia and the event that brought the two women together. When a motorcycle accident left a frightened Angelia on the street alone and bleeding, Kinneil didn’t just stand by, she cared enough to stop and provide a comforting hand and a reassuring voice. Learn more at www.ready.gov/prepare.

Video produced by King County EMS in collaboration with the King County Sheriff.

Video produced by King County EMS in collaboration with the King County Sheriff.

Establishing the need for public education for bleeding control

In 2013, following the the active shooter disaster on December 14, 2012, at Sandy Hook Elementary School in Newtown, CT, the 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) in collaboration with the medical community and representatives from the federal government, the National Security Council, the U.S. military, the Federal Bureau of Investigation, and governmental and nongovernmental emergency medical response organizations, among others. The committee was formed under the guidance and leadership of Trauma Surgeon Lenworth M. Jacobs, Jr., MD, MPH, FACS, vice president of academic affairs and chief academic officer at Hartford Hospital, and professor of surgery, University of Connecticut School of Medicine, to create a protocol for national policy to enhance survivability from active shooter and intentional mass casualty events. The committee’s recommendations are called the Hartford Consensus, and currently consist of four reports.

An evidence-based prehospital guideline for external hemorrhage control

American College of Surgeons Committee on Trauma

This report describes the development of an evidence-based guideline for external hemorrhage control in the prehospital setting. This project included a systematic review of the literature regarding the use of tourniquets and hemostatic agents for management of life-threatening extremity and junctional hemorrhage. Using the GRADE methodology to define the key clinical questions, an expert panel then reviewed the results of the literature review, established the quality of the evidence and made recommendations for EMS care. A clinical care guideline is proposed for adoption by EMS systems.

EMS Recap: Tourniquets

Stop the Bleed Washington Legislative Day

More than 40 first-responders, nurses, physicians, surgeons and staff came together for Stop the Bleed Washington Legislative Day in Olympia, Washington on Jan. 10, 2018.

Together we trained an estimated 388 legislators, staff and visitors in basic tourniquet and wound-packing techniques, as well as met with legislators to raise awareness of Stop the Bleed and the need for bleeding control kits in public areas.

More on Stop the Bleed

Stop the Bleed WA In the News

“‘Stop the Bleed’ Kits–Preparing Everyone for Mass Casualties,” Medscape, 01/10/2019

Trauma Training Initiative Teaches Rural Laypeople how to “Stop the Bleed”, The Rural Monitor, 10/03/2018.

“WA legislature learns bleeding control” – UW Daily, 1/16/2018

“Washington Capitol learns to Stop the Bleed” – HIPRC Blog, 1/11/2018

“Preparing for the worst day of someone’s life,” The Daily of the University of Washington, 12/4/2017.

City of Seattle’s CityStream featured Stop the Bleed on 03/30/2017.

Additional Reading

“Learners’ perspectives on Stop the Bleed: a course to improve survival during mass casualty events,” Karen L Zhao, Madeline Herrenkohl, Maria Paulsen, Eileen M Bulger, Monica S Vavilala, Megan Moore, Tam N Pham, Trauma Surgery & Acute Care Open, 07/2019

“Equipping Public Spaces to Facilitate Rapid Point-of-Injury Hemorrhage Control After Mass Casualty,” Craig Goolsby, M.D., M.Ed., Kandra Strauss-Riggs, MPH, Michael Rozenfeld, M.A., Nathan Charlton, M.D., Eric Goralnick, M.D., M.S., Kobi Peleg, Ph.D., MPH, Matthew J. Levy, DO, M.Sc., Tim Davis, M.D., MPH, and Nicole Hurst, M.D., MPH, American Journal of Public Health, 01/2019

“Is the Plural of Anecdote Data? Creating Evidence-Based Policy for Mass Casualty Incidents,” Pooja Agrawal, M.D., MPH, American Journal of Public Health, 01/2019

Stop the Bleed Washington is Presented By: