Effectiveness of the Adding High Fidelity Simulation to the Bleeding Control Course in Regards to Proper Tourniquet Placement Amongst School Personnel

NCT04293211 | Completed

• 1 other identifier: Stop The Bleed
• Study Type: observational
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

This is a joint project by the White Plains School District and White Plains Hospital regarding the training of over 66 school personnel regarding the American College of Surgeons (ACS) "Stop the Bleed" campaign for mass casualty incidents. This project developed from an outreach from White Plains Hospital and an interest from the White Plains School District to work together to train staff in the event of a mass casualty incident / active shooter.

Conditions

Tourniquet Placement; Wound Packing

Outcome Measures

Primary Outcomes (1)

• Assessment by Evaluation of Applying Tourniquets

  Measure correct tourniquet placement based on internally validated scale. Binomial variable (correct or incorrect). Indications for incorrect placement will also be documented (too loose, incorrect location, longer than 7 minutes, participant requested to discontinue).

  6 months

Secondary Outcomes (3)

• Assessment by Evaluation of Packing Traumatic Wounds

  6 months

• Retention of Skills Over a Period of Time

  8 months

• Evaluate the Change in Length of Time to Tourniquet Placement with Simulation Scenario

  6 months

Study Arms (2)

Control

Upon completion of B-Con presentation, this group will be tested regarding tourniquet placement using the rubric. A tourniquet is regarded as appropriately placed if it is 2 inches above the wound, not located on a joint, appropriate tightness (meaning a finger cannot be placed under it and it is indenting the mannequin). This is as per prior studies. Feedback will be given at the end of this session.

Simulation

This group will have to interact with a panicked actor/actress as well as the SIM MAN 3G who will have two wounds under his clothes. One that will be actively pumping a large amount of arterial blood that will require tourniquet placement and the other wound with trace venous bleeding that will require simple pressure with a clean cloth. Participants will be given feedback on items that they missed. The observer will fill out the rubric and give feedback to the group.

Other: Simulation

Interventions

Simulation OTHER

To measure the efficacy of adding a high-fidelity simulation versus low fidelity simulation to the current B-Con Course. This will be assessed by evaluation of applying tourniquets properly and packing traumatic wounds as well as retention of these skills over a period of time amongst school teachers and security personnel.

Simulation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

White Plains School District employees

You may qualify if:

• any volunteer employee who is over the age of 18 that is a staff member at the White Plains School District.

You may not qualify if:

• any participants who have prior hemorrhage control training. However, although excluded from the study, they are welcome to participate in the program

Sponsors & Collaborators

• White Plains Hospital: lead

Study Sites (1)

White Plains Hospital

White Plains, New York, 10601, United States

Location

Related Publications (1)

• Jafri FN, Dadario NB, Kumar A, Silverstein SR, Quintero F, Larsen EA, Fasciglione K, Mirante D, Ellsworth K, Amicucci B, Ricca J. The Addition of High-Technology Into the Stop the Bleed Program Among School Personnel Improves Short-Term Skill Application, Not Long-Term Retention. Simul Healthc. 2021 Dec 1;16(6):e159-e167. doi: 10.1097/SIH.0000000000000546.

  PMID: 33600137 DERIVED

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 25, 2020
• First Posted: March 3, 2020
• Study Start: January 19, 2019
• Primary Completion: May 15, 2019
• Study Completion: May 31, 2019
• Last Updated: March 3, 2020

Record last verified: 2020-02

Locations

US (1)