Equipping Public Spaces to Facilitate Rapid Point-of-Injury Hemorrhage Control After Mass Casualty

Am J Public Health. 2019 Feb;109(2):236-241. doi: 10.2105/AJPH.2018.304773. Epub 2018 Dec 20.

Abstract

In response to increasing violent attacks, the Stop the Bleed campaign recommends that everyone have access to both personal and public bleeding-control kits. There are currently no guidelines about how many bleeding victims public sites should be equipped to treat during a mass casualty incident. We conducted a retrospective review of intentional mass casualty incidents, including shootings, stabbings, vehicle attacks, and bombings, to determine the typical number of people who might benefit from immediate hemorrhage control by a bystander before professional medical help arrives. On the basis of our analysis, we recommend that planners at public venues consider equipping their sites with supplies to treat a minimum of 20 bleeding victims during an intentional mass casualty incident.

Publication types

  • Review

MeSH terms

  • Disaster Planning*
  • Hemorrhage / therapy*
  • Hemostatic Techniques / instrumentation
  • Humans
  • Mass Casualty Incidents* / mortality
  • Mass Casualty Incidents* / statistics & numerical data
  • Public Facilities*
  • Public Health
  • Retrospective Studies
  • Shock, Hemorrhagic / prevention & control
  • Shock, Hemorrhagic / therapy
  • Tourniquets*