Active bleeding control pilot program in India: Simulation training of the community to stop the bleed and save lives from Road Traffic Injuries

AbstractIntroduction Road Traffic Injuries (RTI) are one of the toughest public health challenges confronting India. An estimated 40% RTI deaths due to uncontrolled bleeding. Stopping bleeding in first few minutes is crucial for meaningful survival considering delays between and definitive trauma care. Our objective was develop implement a lay responder Active Bleeding Control (ABC) program help victims along two high risk corridors using simulation methodology. Methods ABC multi-partner collaboration pilot with government non-governmental agencies. Therefore, EMS Police geolocation data, 50 kms highway were identified Medchal district (population 2.5 million) near Hyderabad city, In depth interviews 22 potential responders conducted 2019 understand barriers helping victims. Simulation training modules developed step-by-step scenario script 90-min curriculum including video. A low cost ‘stop bleed kit' distributed among volunteers. Data collection capture use cases, facilitators success ongoing. Results All respondents reported having witnessed many life-threatening area, had no previous knowledge, or skills control. 1005 volunteers have now been trained stop bleed. Of these, 162 self-reported on selected corridors. The shows that by assess arrest bleeding, passive "by-standers" can be converted into active "try-standers". Conclusion has create much-needed community citizens save lives from