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Revista Colombiana de Cirugía

Print version ISSN 2011-7582
On-line version ISSN 2619-6107


ORLAS, Claudia Patricia et al. Prehospital control of hemorrhage in trauma patients: a feasible secondary prevention strategy in countries of low and median income. rev. colomb. cir. [online]. 2018, vol.33, n.4, pp.371-379. ISSN 2011-7582.


uncontrolled hemorrhage is the leading cause of preventable death in trauma. There are no local precedents that estimate the effect of prevention strategies that involve the public in the initial care of victims. Our objective was to evaluate if it is feasible to implement training programs for the basic control of prehospital bleeding in trauma patients, in a low to a middle-income country.


Surgeons and medical students deploying the Stop the bleed course in a Colombian southwestern university, evaluation was performed before and after the training. A T-test and an ordinal logistic regression analysis were used to determine the factors associated with better scores in the course evaluation.


of the 265 students, were women 136 (51.5%), age was 21.4± 4. After receiving the training, a participant had 15.6 times the chance of obtaining a higher score than the pre-training period 95% CI: 15.1-16.2 (p <0.001). 99.4% and 95.2% respectively, would be willing to take actions and place a tourniquet on a bleeding victim (p <0.001).


in a low to a middle-income country is feasible to perform the Bleeding Control Basic training. This can be done effectively by instructors with a broad background in bleeding control techniques as well as by instructors with less experience, but with adequate training.

Keywords : hemorrhage; wounds and injuries; emergencies; prevention & control; population education; public health.

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