VOLUME 36, ISSUE 2
Detective Jason Mitchell
Health & Risk Mitigation, SWAT/Tactical Medical Operations
Pasadena, TX Police Department
The History and Impact of the TSA’s Stop the Bleed Program at the Texas State Capitol
I was introduced to the late Dr. Charles Cowles several years ago by a mutual friend. As a Special Weapons and Tactics (SWAT) team operator and tactical paramedic, I was creating a tactical medical team for the Pasadena Police Department and was interviewing potential medical directors. Dr. Cowles had a storied history as a paramedic and firefighter prior to attending medical school and anesthesiology residency. Additionally, he had the know-how and relationships to grow our team and was ultimately offered and accepted the position. I am currently employed as a detective and Health and Risk Mitigation Officer working in administration for the Pasadena Police Department.
Several years ago, pre-COVID, Dr. Cowles and I did a short Stop the Bleed (STB) class for the Texas Society of Anesthesiologists office staff. During that visit, the first combination CPR and STB courses to be held during the TSA Day at the Capitol were discussed. In true Dr. Cowles fashion, I was not consulted on this venture and unknowingly was volunteered to provide that training. After informing me of my obligation and that he would not be able to attend, I was understandably confused. I did not have visibility on that discussion or what would be required of me. This was not an uncommon practice for Dr. Cowles. I believe he thought it humorous to push me out of my comfort zone. He did eventually relieve me of my anxiety and actually showed up that day.
Since that first class, this TSA initiative has provided training to several hundred invididuals. The most recent offering, on February 27th of this year, saw nearly 90 participants learn these techniques.
Why Stop the Bleed?
In today’s world, emergencies can happen anytime, anywhere. Knowing how to respond quickly and effectively can save lives. This is where the Stop the Bleed initiative comes in. Launched in 2015 by the White House, the Stop the Bleed program aims to educate individuals on how to control bleeding in emergencies before professional help arrives.
Stop the Bleed is built on the premise that bystanders are often the first on the scene of emergencies. Therefore, equipping them with basic bleeding control techniques can significantly improve survival rates, as uncontrolled bleeding is the leading cause of trauma-related death. Central to the success of Stop the Bleed is the training provided to individuals across various sectors of society. Our training sessions cover essential skills such as the importance of rapid response, direct pressure, and tourniquet application.
Reacting Quickly: In any emergency involving severe bleeding, time is of the essence. The first step is to assess the situation and ensure personal safety before proceeding to help the victim. Since we are limited as to how much lifeblood we have, it is preferred to keep as much of our blood inside our organs and blood vessels as possible.
Applying Pressure: Direct pressure is one of the most effective ways to stop bleeding. By applying firm pressure to the wound with a clean cloth or bandage, bystanders can control bleeding until medical professionals arrive.
Applying a Tourniquet if Necessary: In cases of severe bleeding where direct pressure is not sufficient, the proper application of a tourniquet may be necessary to cut off blood flow to the affected extremity. One of the important points made is to not be afraid to use the tourniquet. Our men and women in the military are using these in wartime with amazing success with little to zero negative effects on the extremity.
The training provided at the Texas State Capitol is designed to give attendees a very basic understanding of how to control bleeding. This training also challenges the individual to seek out other opportunities to further enhance this knowledge.
While the Stop the Bleed program has made significant progress, challenges remain in ensuring widespread adoption and sustainability. Access to training resources, funding, and ongoing education for instructors are essential factors that require continued attention. Additionally, overcoming barriers such as fear or reluctance to intervene in emergencies can be addressed through targeted outreach and education campaigns. By providing this training, the TSA is helping to mitigate these challenges.
Looking ahead, the future of the Stop the Bleed program lies in its ability to integrate seamlessly into existing emergency response systems and become ingrained in the public consciousness. Collaboration between government agencies, healthcare providers, and community organizations will be crucial in achieving this goal. While these training sessions were born out of lessons learned, the TSA is leading the charge at the Texas State Capitol to proactively better prepare individuals working within those walls.
In conclusion, in an increasingly unpredictable world, initiatives like the Stop the Bleed program serve as beacons of hope, empowering individuals to take action in the face of adversity. Through these training opportunities, the TSA will undoubtedly impact the greater community in ways we hadn’t considered.
On a personal note, I view instructing these classes as a gift, and through this, it allows me to honor my friend and mentor Dr. Charles Cowles. While gone far too soon, I was blessed to have had such a man in my life. I am honored and grateful to be a part of what the Texas Society of Anesthesiologists is doing for the State of Texas.
References:
American College of Surgeons. (n.d.). About Stop the Bleed. Retrieved from https://www.stopthebleed.org Last accessed 5-2-2024
Jacobs LM, Rotondo M, McSwain N, Wade DS, Fabbri WP, Eastman A, Butler FK, Sinclair J, Burns K, Brinsfield K, Carmona R, Richard S, Conn A, Kamin R; Joint Committee to Create a National Policy to Enhance Survivability From Mass Casualty Shooting Events Hartford Consensus II. Joint Committee to Create a National Policy to Enhance Survivability from Mass Casualty Shooting Events: Hartford Consensus II. Conn Med. 2014 Jan;78(1):5-8. PMID: 24600773.