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Viewpoint |

A Call to Action to Develop Programs for Bystanders to Control Severe Bleeding ONLINE FIRST

Matthew J. Levy, DO, MSc1,2; Lenworth M. Jacobs, MD, MPH3,4
[+] Author Affiliations
1Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
2Howard County Department of Fire and Rescue Services, Columbia, Maryland
3Department of Surgery, Hartford Hospital, Hartford, Connecticut
4Department of Surgery, University of Connecticut, Farmington
JAMA Surg. Published online September 14, 2016. doi:10.1001/jamasurg.2016.2789
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This Viewpoint discusses the importance of recommendations for all responders, including bystanders, to have the education and necessary equipment to stop severe bleeding, similar to use of cardiopulmonary resuscitation and automated external defibrillators.

Recent global events have once again turned the medical community’s attention toward the preparedness for, and response to, acts of terrorism and intentional harm. These situations are an ever-present reminder of the perils of modern society. While large events will always attract the attention of mass media, countless smaller situations that never make the news will continue to forever alter the lives of those involved. Furthermore, such incidents of intentional harm, including active shooter events, suicide bombers, and terrorist attacks, occupy only a portion of the spectrum of traumatic injury, which remains the number 1 cause of death of Americans ages 1 to 46 years.1

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