NCT03538379: TRIAGE

Tourniquet Training Effectiveness Study

Status unknown NA Last updated 29 May 2018

What this trial tests

NA trial testing Bleeding Control Basic (B-Con) Course in Trauma Injury in 34 participants. Status unknown.

Timeline

4 April 2018

Primary endpoint
30 June 2018

15 July 2018

Quick facts

Lead sponsor	Brigham and Women's Hospital
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	sequential
Masking	none
Primary purpose	health services research
Enrollment	34
Start date	4 April 2018
Primary completion	30 June 2018
Estimated completion	15 July 2018
Sites	1 location across United States

Drugs / interventions tested

• Bleeding Control Basic (B-Con) Course

Conditions studied

• Trauma Injury — all drugs for Trauma Injury →
• Hemorrhage — all drugs for Hemorrhage →

Sponsor

Brigham and Women's Hospital

Who can join

18 and older, any sex, with Trauma Injury or Hemorrhage. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Trauma is the leading cause of death for individuals ages 1-45 years old, within this cohort, and uncontrolled hemorrhage is the leading cause of preventable death.1,2 Tourniquets have been shown to be effective in dramatically decreasing death from uncontrolled hemorrhage on the battlefield and there is level 4 evidence that EMS application of tourniquets in the civilian sector is effective though not to the same degree as in the military.3,4 Multiple national groups have advocated that to further decrease preventable deaths from hemorrhage, laypersons should apply tourniquets before the arrival of professional first responders. To this aim, the "Stop the Bleed" campaign has trained over 100,000 individuals in the US in hemorrhage control techniques and tourniquet use with the Bleeding Control Basic (B-Con) course.5 The "Stop the Bleed" campaign informs course participants all commercial tourniquets are equivalent, and improvised tourniquets should be applied if a commercial tourniquet is not available.6 The investigators are evaluating the ability of the B-Con course participants to apply three different types of commercial tourniquets, the Rapid Application tourniquet (RAT), the Stretch-Wrap-And-Tuck tourniquet (SWAT-T), and the Sof Tourniquet (Sof-T) as well as participants ability to fashion an improvised tourniquet. The investigators hypothesize B-Con in its current form does not enable course participants to apply other commercial tourniquets beyond the specific one taught, the CAT tourniquet, and does not teach how to apply an improvised tourniquet.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Effectiveness of the American College of Surgeons Bleeding Control Basic Training Among Laypeople Applying Different Tourniquet Types: A Randomized Clinical Trial.
   McCarty JC, Hashmi ZG, Herrera-Escobar JP, de Jager E, et al · · 2019 · cited 24× · PMID 31339533 · DOI 10.1001/jamasurg.2019.2275