Immediate responder hemorrhage control
state and local levels, government should interact
with the private sector to identify potential risks at
public venues and workplaces. It is also important
to note that municipalities can engage in fundrais-ing activities at the local level to procure equipment.
Professional organizations should set standards that
encourage education, equipment, and training for
immediate responders, which should be offered as a
measure of public safety. Volunteers can be a resource
to provide the training.
Considerations for the development and sus-tainability of bleeding control programs include
•Using clear and concise messaging that bleeding control
is an issue for public and private sectors
•Engaging the private sector, including businesses and
•Appealing to philanthropic organizations
•Applying for grant funding from government and private agencies
•Involving professional, community, social, and faith-based organizations
The most significant preventable cause of death in the
prehospital environment is external hemorrhage. As
demonstrated by guidelines enacted by the military,
widespread bleeding control is critical to saving lives.
Our nation has a history of learning hard lessons from
wartime experiences; the case for hemorrhage control
is no different. The Hartford Consensus directs that all
responders have the education and necessary equipment for hemorrhage control and strongly endorses
civilian bystanders to act as immediate responders.
Immediate responders represent a foundational element of the ability of the U.S. to respond to these events
and are a critical component of our ability to build
national resilience. Immediate responders must be
empowered to act, to intervene, and to assist.
We are a nation of people who respond to others
in need. It is no longer sufficient to “see something,
say something.” Immediate responders must now “see
something, do something.” ♦
All text and images in this article © the Hartford Consensus.
Permission to reprint granted by Dr. Jacobs. For permission
to reprint or for more information, contact Dr. Jacobs at
V100 No 7 BULLETIN American College of Surgeons