Video-Based Stop the Bleed Training: A New Era in Education

Mayur Narayan, Mathangi Chandramouli, Paolo de Angelis, Aakanksha Gupta, Anjile An, Maureen Dominguez, Dana Zappetti, Robert J. Winchell, Philip S. Barie

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Introduction: Uncontrolled bleeding is a leading cause of preventable death. The “Stop the Bleed” (StB) program trains laypersons in hemorrhage control. This study evaluated the efficacy of video-based StB training. Methods: Participants watched two different videos: a didactic video (DdV) and a technical video (TeV) demonstrating proper techniques for StB skills (i.e., direct pressure [DP], wound packing [WP], and tourniquet application [TA]). Then, they completed a standardized skills examination (SE). Participants were surveyed at three different time points (baseline, post-DdV, and post-SE) for comparison. We compared paired categorical and continuous variables with the McNemar-Bowker test and Wilcoxon signed-rank test, respectively. Alpha was set at 0.05. Results: One hundred six participants were enrolled: 52% were female and the median age was 23 y (22, 24). At baseline, 29%, 8%, and 13% reported being somewhat or extremely confident with DP, WP, and TA, respectively. These percentages increased to 92%, 79%, and 76%, respectively, after the DdV (all, P < 0.0001). After the TeV and SE, percentages increased further to 100%, 96%, and 100% (all, P < 0.0001). During the SE, 96%, 99%, and 89% of participants were able to perform DP, WP, and TA without prompting. Among participants, 98% agreed that the video course was effective and 79% agreed that the DdV and TeV were engaging. Conclusions: We describe a novel paradigm of video-based StB learning combined with an in-person, standardized SE. Confidence scores in performing the three crucial StB tasks increased significantly during and after course completion. Through remote learning, StB could be disseminated more widely.

Original languageEnglish (US)
Pages (from-to)535-542
Number of pages8
JournalJournal of Surgical Research
StatePublished - Dec 2022
Externally publishedYes


  • Bleeding control
  • Preventable death
  • Remote learning
  • Stop the bleed

ASJC Scopus subject areas

  • Surgery


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