[Skip to Content]
[Skip to Content Landing]
Comment & Response
January 30, 2019

Just-in-Time Instructions for Layperson Tourniquet Application

Author Affiliations
  • 1National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, Maryland
  • 2Uniformed Services University of the Health Sciences, Bethesda, Maryland
JAMA Surg. 2019;154(4):363-364. doi:10.1001/jamasurg.2018.5251

To the Editor We applaud Goralnick et al1 for their report that a classroom-based “Stop the Bleed” course resulted in roughly half of participants applying a tourniquet correctly 3 to 9 months after training. However, we disagree with the authors’ assertion, “Formal hands-on hemorrhage control training was found to be the most effective method to enable laypersons to control hemorrhage.”1 Their study allocated 103 participants to each of 3 experimental arms and 1 control arm. The experimental arms sought to compare educational effects of flashcards, audio kits, and classroom education with untrained controls.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words