Stop the Bleed Training for High School Students

Guardian Attitudes and Their Association with Prior Trauma

Bibliographic Data

ID21354116
AuthorsJessica E McDade (0000-0003-2260-7113, Pediatric Critical Care Medicine Fellow ([email protected]), Division of Pediatric Critical Care Medicine, University of Washington. 4800 Sandpoint Way, Seattle, WA 98105, corresponding author), Hannah C Deming (Chief Pediatric Resident, ([email protected]), Department of Pediatrics, University of Washington. 4800 Sandpoint Way, Seattle, WA 98105), Samara Jinks‐Chang (Chief Pediatric Resident, (samara.jinks‐[email protected]), Department of Pediatrics, University of Washington. 4800 Sandpoint Way, 98105, Seattle, WA 98105), Maria R Paulsen (Trauma Outreach Education Coordinator, ([email protected]), Harborview Injury Prevention and Research Center and Department of Surgery, University of Washington. 325 9th Avenue, MS 359796, Seattle, WA 98104), Maria Paulsen (University of Washington), Anthony L Bui (0000-0003-3481-7855, Pediatric Resident, ([email protected]), Department of Pediatrics, University of Washington. 4800 Sandpoint Way NE, Seattle, WA 98105), Monica S Vavilala (0000-0002-2354-5279, Professor, Department of Anesthesiology and Pain Medicine and Pediatrics; Adjunct Professor, ([email protected]), Health Systems and Population Health, School of Public Health; Director, Harborview Injury Prevention and Research Center, University of Washington. 325 9th Avenue, Box 359960, Seattle, WA 98104), Frederick P Rivara (0000-0003-1427-0637, Professor, Department of Pediatrics; Professor, Department of Epidemiology; Co‐director, ([email protected]), Harborview Firearm Injury Policy and Research Program, University of Washington. 325 9th Avenue, Box 359960, Seattle, Washington, 98104; Children's Hospital Guild Association Endowed Chair in Pediatric Health Outcomes Research, Center for Child Health, Behavior and Development, Seattle Children's Hospital; 4800 Sandpoint Way NE, Seattle, WA 98105), Eileen M Bulger (0000-0002-7938-155X, Professor, Division of Trauma, Burn, and Critical Care Surgery; Chief of Trauma, ([email protected]), Harborview Medical Center; Core Faculty, Harborview Injury Prevention and Research Center, University of Washington; 325 9th Avenue, Seattle, WA 98104)
Year2022
Volume92
Issue4
Pages345-352
Publication date2022-04-01
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13134
PMID35098532
OpenAlexW4210618421
LanguageEN
References cited31

BACKGROUND: Uncontrolled bleeding is the leading preventable cause of death after injury. Stop the Bleed (STB) is a bleeding control training with proposed expansion into schools. However, the attitudes of guardians, specifically those with past trauma/injury, towards expanding STB into schools are unknown. METHODS: A cross-sectional survey evaluated guardian attitudes towards STB training in high schools, and compared responses between guardians based on the experience of prior trauma. Logistic regression models evaluated the association between prior trauma and guardian-reported acceptability of STB training. RESULTS: Of 750 guardians who received the survey, 484 (64.5%) responded. Most guardians (95.3%) wanted their child trained. Few (4.2%) felt this training would be harmful; 44.9% felt their child might be held responsible if something went wrong, and 28.4% reported it might be too scary for their child. In adjusted models, guardians with prior trauma were more likely to want their child trained (odds ratio [OR] = 3.50, 95% confidence interval [CI] 1.11-15.50), and identify STB as important to them (OR = 4.07, 95% CI 1.66-12.26). CONCLUSION: Our results support STB training in high schools, and guardians with a trauma history may be more likely to want their child trained. Further work to understand the perceived potential harm, and work to design trauma-informed first-response trainings is warranted.

Bleed · Confidence interval · Family medicine · Guardian · Harm · Injury prevention · Legal guardian · Logistic regression · Odds · Odds ratio · Poison control · Emergency Medicine · Injury Epidemiology and Prevention · Internal Medicine · Medicine · Psychology · Social Psychology · Surgery · Trauma and Emergency Care Studies · Trauma, Hemostasis, Coagulopathy, Resuscitation

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