THE HARTFORD CONSENSUS
The Joint Committee to Increase Survival from Active Shooter and Intentional
Mass Casualty Events was convened by the American College of Surgeons in
response to the growing number and severity of these events. The committee
met in Hartford Connecticut and has produced a number of documents with recommendations. The documents represent the consensus opinion of a multi-disciplinary committee involving medical groups, the military, the National Security
Council, Homeland Security, the FBI, law enforcement, re rescue, and EMS.
These recommendations have become known as the Hartford Consensus. The
overarching principle of the Hartford Consensus is that no one should die from
uncontrolled bleeding. The Hartford Consensus recommends that all citizens
learn to stop bleeding.
Further information about the Hartford Consensus and bleeding control can be
found on the website: Bleedingcontrol.org
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SAVE A LIFE:
What Everyone Should Know
to Stop Bleeding After an Injury
Authors:
Peter T. Pons, MD, FACEP
Lenworth Jacobs, MD, MPH, FACS
Acknowledgements:
The authors acknowledge the contributions of Michael Cohen
and James “Brooks” Hart, CMI to the design of this manual.
Some images adapted from Adam Wehrle, EMT-P and NAEMT.
© 2017 American College of Surgeons
CONTENTS
SECTION 1 3
■
Introduction
■
Primary Principles of Trauma Care Response
■
The ABCs of Bleeding
SECTION 2 5
■
Ensure Your Own Safety
SECTION 3 6
■
A – Alert – call 9-1-1
SECTION 4 7
■
B – Bleeding – nd the bleeding injury
SECTION 5 9
■
C – Compress – apply pressure to stop the bleeding by:
■
Covering the wound with a clean cloth and applying
pressure by pushing directly on it with both hands, OR
■
Using a tourniquet, OR
■
Packing (stuff) the wound with gauze or a clean cloth and
then applying pressure with both hands
SECTION 6 13
■
Summary
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SECTION 1: INTRODUCTION
Welcome to the Stop the Bleed: Bleeding Control for the
Injured information booklet. Injury results from a wide variety
of causes, including accidents or intentional harm, and in a
wide variety of locations, such as your home or workplace.
It is important that as many people as possible survive their
injuries if they sustain trauma.
Uncontrolled bleeding is the number one cause of
preventable death from trauma. The greater the number
of people who know how to control bleeding in an injured
patient, the greater the chances of surviving that injury.
You can help save a life by knowing how to stop bleeding if
someone, including yourself, is injured.
In this booklet, you will learn the various ways to control
bleeding, whether you only have your two hands to use or
whether you have a full trauma rst aid kit available to you.
“Uncontrolled bleeding is the number one
cause of preventable death from trauma.”
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