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Stop the Bleed

Here you will enter your month's data on stop the bleed events that have been held as well as any traumas that you have received that utilized any STB resources.

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* 1. Name of Entity

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* 2. Person Completing report

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* 3. Pick the month you are reporting:

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* 4. How many STOP THE BLEED courses have  you conducted this month?

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* 5. Please list each class's date and the amount attended? As well as if the classes included any school system staff or public service individuals?

Example  
April 18, 2021 - 12 students - 3 were EMS
April 25, 2021 - 10 students - 2 works for the school district

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* 6. Were all the classes that were conducted this month registered on the national website?

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* 7. b'How many instructors do you have in your entity / community?'

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* 8. Have you received any patients that utilized Stop the Bleed resources??

i.e. has anyone came into your facility that had a tourniquet placed or packing in a wound

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* 9. If so, who placed the tourniquet?

 
Paramedic/EMS
Law Enforcement
Bystander / Community Member

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* 10. How many of the tourniquets that you received where placed appropriately?? 

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* 11. Did your facility place any tourniquets?  If so, how many??

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