Do Participants Retain Tourniquet Skills 12 or More Weeks After Initial Hemorrhage Control Training?

Denneny, Keith, Nursing Practice - School of Nursing, University of Virginia
Quatrara, Beth, NR-Nursing: Faculty, University of Virginia

Objective: The objective was to determine whether participants are able to retain tourniquet application skills over a 12 week period.

Background: Based on military research, layperson intervention in life-threatening hemorrhage can be reduce hemorrhage mortality by 85%. Teaching these skills to the layperson is the goal of numerous hemorrhage control course, but as of yet, the optimal approach to education and retention of skills is unknown.

Methods: A prospective quasi-experimental design with two different groups measured at two different times with a primary outcome to successfully apply a tourniquet to a simulated amputation.

Results: Participants in group A were able to reduce the average time to successfully apply a tourniquet, while those in group B increased their time. (p>0.130.) All of group A self-identified as having prior healthcare training, with only 20% reporting prior hemorrhage control training. 60% of group B self-identified as having prior healthcare training with 45% having prior hemorrhage control training.

Conclusions: The results highlight a trend towards maintaining effective tourniquet application skills beyond 12 weeks. The results also suggest that skill retention appears influenced by the training method and background of participants.

DNP (Doctor of Nursing Practice)
Tourniquet, Hemorrhage Control, Hemorrhage Control Training, Stop the Bleed, CAT Tourniquet
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