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Author Contributions 5. Heier T, Caldwell JE. Impact of hypothermia on the response to neuro-
All authors approved the final version of the manuscript. muscular blocking drugs. Anesthesiology. 2006;5(104):1070–1080.
6. Dirkmann D, Hanke AA, Görlinger K, et al. Hypothermia and
acidosis synergistically impair coagulation in human whole blood.
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“See a need? Stop the bleed!”

Changing the World With Stop the Bleed Kits
“We took ownership of our own competence in that we attended the initial class. ‘The installation of the Stop the
are making ourselves more ready to respond to prob- Bleed kits along with the rapid deployment of a diverse
lems like violence like at the Navy Yard, and twice at Fort training team are all integral parts of the commander’s
Hood,” said Dr John F. Kragh Jr, an orthopedic surgeon initiative,’ said Truss. ‘We are the leading edge for the
and tourniquet researcher, who assisted with the initial methods of stop the bleed and we hope to not only in-
training. “We are also stewards of the community on this crease the amount of skilled trained staff but for each of
issue, and therefore, we are role models. Col Nessen has them to share the knowledge in the community.’
emphasized these points well.”
“Truss will coordinate another iteration of instructor
“Kragh stressed that the most important thing that staff classes before initiating training for the staff in 2018. ‘It’s
members learn is when they see a need, they can inter- important for our staff to be trained, because we never
vene and stop the bleed. ‘See a need? Stop the bleed! know what can happen,’ said Sanchez. ‘The more pre-
They get information on how and when to intervene so pared we are as a staff, the better our chances of surviv-
they can better judge, and they demonstrate the skills,’ ing in a situation where we need to apply these skills and
added Kragh. save lives.’”

“Staff Sgt. Luis Sanchez, logistics noncommissioned offi- “‘We are changing the world,’ added Kragh. ‘In my experi-
cer, was among the first staff members to undergo the in- ence, it’s really slow and hard to substantially improve the
structor training. ‘The training was very good, especially world. It’s most gratifying to have improved first aid which
for the staff members who have never encountered this potentially affects learners and patients globally. We con-
type of situation where they need to know what to do and tinue this effort in service of the 7.5 billion people on the
act quickly,’ he said. ‘I learned how properly pack a wound planet today and the next 7.5 billion to come. This is as
on a casualty mannequin. This training was beneficial be- good as it gets, the work of our lifetime to help others
cause it keeps us sharp and ready.’ hold onto their lifetimes.’” [From ISR Innovator, published
monthly by the Public Affairs Officer, 3698 Chambers
“Stephanie Truss, USAISR health, safety and environ- Pass, Bldg 3611, Fort Sam Houston, TX 78234]; see News
mental manager, coordinated the instructor training and To Use on page 6 for more from the USAISR.

28 | JSOM Volume 18, Edition 1/Spring 2018