Bleeding Control Course

4 hours Course Length


After the 2012 Sandy Hook mass shooting, the American College of Surgeons in collaboration with other medical agencies, the White House and other national agencies developed what is known as the Hartford Consensus. The consensus is a set of four reports to set policy on how to survive a mass casualty event.

One of the goals of the third report is to employer regular bystanders to render aid in the form of stopping the bleed. It was realised that the immediate witnesses to an attack or accident are the ones best placed to render the most crucial aim to save someone’s life.

Blood loss is quick, and is one of the main causes of prehospital fatalities, and without proper action someone can die in minutes. This is simply not enough time for even the best ambulance service to arrive and begin rendering aid. Even if they do arrive in time, the loss of blood will likely mean the casualty requires more blood transfusions, longer time in hospital, greater chance for complications and long term morbidity.

If bystanders can be adequately trained and given the proper resources to ‘stop the bleed’ then potentially a lot of lives can be saved. This concept has been consolidated into a program known in the US as STOP THE BLEED. The program has been successful in training the community in catastrophic haemorrhage management, and installing tourniquets and pressure dressings in schools and other community centres across the US.

Through our STOP THE BLEED® course, you’ll gain the ability to recognize life-threatening bleeding and intervene effectively. The person next to a bleeding victim may be the one who’s most likely to save him or her. Take the course and become empowered to make a life or death difference when a bleeding emergency occurs. STOP THE BLEED®.

Save a Life!

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– James Baxter

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– Barry Walker


Equipment Used

World class skill trainers, training tools and clinical resources will be incorporated into the class. These include tourniquet trainers which squirt arterial blood until adequate pressure has been applied by a tourniquet to occlude the tube inside. This simulates the approximate amount of force required to occlude a real persons femoral artery. Wound-packing is practised using skill trainers which are designed to look similar to a junctional wound near the armpits or groin. The trainer connects to tubbing which the trainer uses to pump blood into the cavity. The student then needs to stick their fingers inside, clear the cavity, find the artery and pack against the artery.

During the course, the student will be using a range of leading and evidence based devices such as the CAT (Combat Application Tourniquet) Tourniquet, and the SOFTT-W (Special Operation Forces Tactical Tourniquet) Tourniquet, Israeli (Emergency Bandage), OLAES Bandage, CELOX and specialised folded gauze for wound packing.

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Evidence Based

The content taught in the bleeding control cause follows the latest evidence based techniques and principles. Much of the evidence has originated from a military context, however there is also significant evidence from the civilian environment. Especially from infamous events such as the Boston marathon bombing and other civilian disasters.

The European Resuscitation Council (ERC) includes tourniquets within their guidelines but this course extends beyond this looking to the Committee for Tactical Emergency Casualty Care (cTECC) for the latest evidence based medicine.

The cTECC guidelines change routinely as new evidence comes to light and the specialist medical review team at Real Response believes this is the gold standard which should be followed. In addition, Real Response looks to the peak body for Tactical Medicine in Europe, The European Tactical Medical Association (ETMA) to further strengthen the legitimacy of the cTECC guidelines in Europe. This training works, it saves lives and is proven! This training works, it saves lives and is proven. Real Response has had several past students write in to say they used these techniques in the field and it has actually saved their or someone else’s life. One student which comes to mind is a builder who undertook the Bleeding Control Course (AKA Stop the Bleed), and they were using a axle grinder at work, slipped and cut their femoral artery. A colleague of his Brough the med kit, and he instructed them to create an improvised tourniquet out of a triangle bandage and screwdriver until the ambulance arrived. Without a tourniquet, this person would have likely bleed out in a couple of minutes. This training SAVES LIVES!

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