Stop the Bleed

About the Stop the Bleed Campaign

History of Stop the Bleed

In April 2013, a few months after the active shooter event at Sandy Hook Elementary School in Newtown, CT, the Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty and Active Shooter Events was convened by the American College of Surgeons (ACS). This was done in collaboration with the medical community and representatives from the federal government, the National Security Council, the U.S. military, the Federal Bureau of Investigation, and governmental and non-governmental emergency medical response organizations, among others. The committee was formed to create a protocol for national policy to enhance survivability from active shooter and intentional mass casualty events. One of the committee’s reports is called the Hartford Consensus. The Stop the Bleed campaign is a direct result of the Hartford Consensus III: Implementation of Bleeding Control.

A significant preventable cause of death in the prehospital environment is uncontrolled bleeding. As demonstrated by guidelines enacted by the military, widespread bleeding control is critical to saving lives. The Hartford Consensus recommends that all responders have the education and necessary equipment for bleeding control and strongly encourages bystanders to act as immediate responders to stop bleeding.

In October 2015, The White House launched a national awareness campaign called Stop the Bleed. The campaign serves as a call to action to encourage bystanders to become trained, equipped, and empowered to help in a bleeding emergency before professional help arrives. 

Implementing Stop the Bleed in Iowa

Picture of Dr. Pons, Dr. Sidwell, and Steve Mercer holding a bleeding control kit. In the summer of 2017, the Iowa Department of Public Health in collaboration with the American College of Surgeons Committee on Trauma (ACS-COT), Iowa Chapter and the Trauma System Advisory Council (TSAC) implemented the Stop the Bleed campaign statewide in Iowa. The training associated with the Stop the Bleed campaign is called Bleeding Control or B-Con. The B-Con training teaches the public to:
  • Ensure their own safety
  • Alert – Call 9-1-1
  • Bleeding – Find the bleeding injury
  • Compress – Apply pressure to stop bleeding by:
    • Covering the wound and applying direct pressure
    • Using a tourniquet, or
    • Packing (filling) the wound with gauze or a clean cloth and applying direct pressure

How the Public Can Find a Bleeding Control (B-Con) Class

Students in a Stop the Bleed Class.A list of upcoming B-Con courses is available through the American College of Surgeons Committee on Trauma website at bleedingcontrol.org. Individuals may search by available classes by State or City. Click this Find a B-Con Class link to locate a course in your area. 

Instructors should register all classes on the bleedingcontrol.org website. This will ensure the general public are able to locate the course and provide data regarding the number and types of individuals that have been reached with the training.


Resources to Support the Stop the Bleed Campaign

National Resources

There are multiple resources available through the American College of Surgeons Stop the Bleed website at bleedingcontrol.org.

State Resources

Instructor Resources

Picture of Stop the Bleed course instructors.Individuals that have received the Bleeding Control (B-Con) instructor training and would like to register as an ACS instructor, access the ACS instructor portal, or post a class on the ACS website may do so at bleedingcontrol.org or by clicking on this Instructor Portal Link.  

The Instructor Portal allows registered instructors to access the B-con course materials and add classes to the American College of Surgeons' class portal.



Wound Packing Models

There are multiple wound packing models available commercially. The following links provide guidance on build-your-own wound packing models. IDPH does not endorse any particular product or vendor.

Picture of student packing a wound in a model made from pork shoulder.  Pork Shoulder Wound Packing Model Guide PDF

Picture of a silicone wound packing model.



Silicone Rubber Wound Mold Directions PDF





Program Evaluation 

Evaluating the implementation of the Stop the Bleed program in Iowa is essential in ensuring the program's long term success. Two surveys have been developed to assist in monitoring the implementation of the program. 

Instructor Report

Instructors are requested to submit a report on completed trainings. This seven question report seeks information about the number of individuals trained, the venues where the training occurred, population of the community where the training was provided, the profession of instructors, and general feedback. This information will be used to determine the reach of the program and the identify disciplines providing the training. A PDF of the survey questions is below as well as a link to complete the survey online. 

Instructor Report Questions for Review PDF

Link to submit Instructor Report Data

Participant Evaluation

Feedback from participants is important to understand the effectiveness and reach of the program. Instructors are requested to provide the participant evaluation survey link to students. The survey will take approximately five minutes for participants to complete. A PDF of the questions has been included below as well as a link to complete the survey online. 

Participant Evaluation Handout PDF

Participant Evaluation Survey Questions for Review PDF

Link to submit Participant Evaluation Survey Questions

Requesting Use of the Stop the Bleed Logo

The Stop the Bleed logo.The Stop the Bleed Logo is a registered trademark of the U.S. Department of Defense (DoD). The Iowa Department of Public Health has executed a licensing agreement with the DoD for use of the logo for outreach efforts to support and publicize the “Stop the Bleed” program. The licensing agreement was established on behalf of IDPH and its designees. Click here to request use of the Stop the Bleed logo in conjunction with the Iowa Department of Public Health agreement, terms and conditions apply.  


Share Your Bleeding Control Story

If you have a bleeding control story to share, we want to know. Anyone can make a difference if they take action and Stop the Bleed. Please Click Here to Share Your Story

Partnering with Iowa State Patrol

Trooper Larson, Margot McComas, and Diane Williams working to initiate a joint project between IDPH and IDPS.The Iowa Department of Public Health (IDPH) and the Iowa Department of Public Safety (IDPS) Iowa State Patrol is partnering to spread the Stop the Bleed message. On October 31, 2017, IDPH trauma staff presented the Trooper Rod Larson with a Stop the Bleed training kit. The Iowa State Patrol will use the kit to train State Troopers across the State. As the Iowa State Patrol District #1 Public Resource Officer, Trooper Larson will be providing the bleeding control training to students during driver's education trainings, educate teachers and students during active shooter trainings, and assist Captain Nathan Fulk to share the information through Iowa State Patrol CPR instructors. 





The Stop the Bleed logo.