The Bleeding Control for the Injured (B-Con) course was developed by NAEMT’s PHTLS Committee with leadership provided by Dr. Peter Pons and Dr. Norman McSwain.
The course was developed in response to efforts by the U.S. Departments of Homeland Security and Health and Human Services to increase collaboration between law enforcement, the fire service and EMS in responding to active shooter/IED/mass casualty events. B-Con is consistent with the recommendations of the Hartford Consensus on Improving Survival from Active Shooter Events. The Hartford Consensus recommends that an integrated active shooter response should include the critical actions contained in the acronym THREAT:
- Hemorrhage control
- Rapid Extrication to safety
- Assessment by medical providers
- Transport to definitive care
The Hartford Consensus Group recommends that the response to a traumatic incident, whether involving an active shooter or some other cause of injury, in fact begins with bystander response. It is with this in mind that the B-Con course was developed and is now being offered.
This new 2 ½ hour course teaches participants the basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. The course is designed for NON tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training. Course materials include a PowerPoint presentation and instructor notes, instructor’s guide, and skill station guide.
A separate, additional PowerPoint module is included in the course materials specifically for law enforcement participants. This module provides an orientation to the content of the Hartford Consensus and the changing approach to active shooter and other complex and hazardous responses.
At the completion of the course, participants will be able to:
- Explain the rationale for early use of a tourniquet for life-threatening extremity bleeding.
- Demonstrate the appropriate application of a tourniquet to the arm and leg.
- Describe the progressive strategy for controlling hemorrhage.
- Describe appropriate airway control techniques and devices.
- Demonstrate the correct application of a topical hemostatic dressing (combat gauze).
“Stop the Bleed” Campaign is a federal initiative that aims to save lives and build resiliency in our communities.
The “Stop the Bleed” campaign was launched during an event at the White House, to provide bystanders of emergency situations with the tools and knowledge to stop life threatening bleeding. Working with the private sector and nonprofit organizations, the “Stop the Bleed” campaign will put knowledge gained by first responders and our military, into the hands of the public to help save lives.
NAEMT participated in the launch of this White House initiative, and has endorsed the Stop the Bleed campaign. NAEMT was recognized at the launch for its work in developing the Bleeding Control for the Injured (B-Con) course to teach basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. The course is designed for NON-tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training.
Uncontrolled bleeding injuries can result from natural and manmade disasters and from everyday accidents. If this bleeding is severe, it can kill within minutes, potentially before trained responders can arrive. Providing bystanders with basic tools and information on the simple steps they can take in an emergency situation to stop life threatening bleeding can save lives. Research has shown that bystanders, with little or no medical training, can become heroic lifesavers. Similar to the use of CPR or automatic defibrillators, improving public awareness about how to stop severe bleeding and expanding personal and public access to Bleeding Control Kits can be the difference between life and death for an injured person.
Our national preparedness is the shared responsibility of all levels of government, the private and non-profit sectors, and individual citizens. The goal of this initiative is to build national resilience by empowering the general public to be aware of the simple steps that can be taken to stop or slow life threatening bleeding, and to promote the general public’s access to Bleeding Control Kits in public spaces, while they travel, and in the home.
EMS practitioners are asked to help build awareness of this initiative. For more information on these efforts and how you can get involved in the “Stop the Bleed” campaign, please visit dhs.gov/stopthebleed.