Tsui Michelle, Carroll Shannon L, Dye Daniel W, Smedley W Andrew, Gilbert Aidan D, Griffin Russell L, McGwin Gerald, Stephens Shannon W, Kerby Jeffrey D, Jansen Jan O
Wide Base Hospital and Health Service, Bundaberg, Queensland, Australia.
Center for Injury Science, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Trauma Surg Acute Care Open. 2020 Feb 18;5(1):e000384. doi: 10.1136/tsaco-2019-000384. eCollection 2020.
Trauma is a major public health issue. In 2015, the White House launched the "Stop the Bleed" (STB) campaign, which aims to equip would-be bystanders with the ability and equipment to assist in bleeding emergencies. This study sought to estimate the number of patients who might benefit from STB intervention, in an everyday setting, and their spatial injury profile.
This is a retrospective analysis of trauma registry and medical examiners' data, collected between 2013 and 2017. The majority of patients were male. The median age was 32 years. Incidents were geocoded by ZIP code, and mapped using Quantum Geographic Information System (QGIS).
We identified 139 patients from medical examiner records and UAB's trauma registry who might have benefitted from STB intervention. The number of incidents per year ranged from 22 to 35, averaging 2.3 incidents per month. There was no evidence of geographical clustering, although the small number of incidents precluded a formal geostatistical analysis.
The number of patients who might benefit from STB interventions on a daily basis is small, and incident locations are difficult to predict. Educating the public in how to stop bleeding is appealing, but providing easy and widespread access to STB kits may be difficult. Although there are parallels to the provision of cardiopulmonary resuscitation and defibrillation for cardiac arrest, there are also differences, which should not be overlooked.
创伤是一个重大的公共卫生问题。2015年，白宫发起了“止血”（STB）运动，旨在使潜在的旁观者具备在出血紧急情况中提供帮助的能力和设备。本研究旨在估计在日常环境中可能从STB干预中受益的患者数量及其空间损伤特征。
这是一项对2013年至2017年期间收集的创伤登记和法医数据的回顾性分析。大多数患者为男性。年龄中位数为32岁。事件按邮政编码进行地理编码，并使用量子地理信息系统（QGIS）进行映射。
我们从法医记录和阿拉巴马大学伯明翰分校的创伤登记中识别出139名可能从STB干预中受益的患者。每年的事件数量从22起至35起不等，平均每月2.3起。尽管事件数量较少，无法进行正式的地理统计分析，但没有地理聚集的证据。
每天可能从STB干预中受益的患者数量较少，且事件发生地点难以预测。对公众进行如何止血的教育很有吸引力，但要提供方便且广泛可得的STB工具包可能很困难。尽管在为心脏骤停提供心肺复苏和除颤方面有相似之处，但也存在差异，不应被忽视。
