RT Journal Article SR Electronic T1 Stop the Bleed: gap analysis and geographical evaluation of incident locations JF Trauma Surgery & Acute Care Open JO Trauma Surg Acute Care Open FD BMJ Publishing Group Ltd SP e000384 DO 10.1136/tsaco-2019-000384 VO 5 IS 1 A1 Michelle Tsui A1 Shannon L. Carroll A1 Daniel W. Dye A1 W. Andrew Smedley A1 Aidan D. Gilbert A1 Russell L. Griffin A1 Gerald McGwin A1 Shannon W. Stephens A1 Jeffrey D. Kerby A1 Jan O. Jansen YR 2020 UL http://tsaco.bmj.com/content/5/1/e000384.abstract AB Background Trauma is a major public health issue. In 2015, the White House launched the “Stop the Bleed” (STB) campaign, which aims to equip would-be bystanders with the ability and equipment to assist in bleeding emergencies. This study sought to estimate the number of patients who might benefit from STB intervention, in an everyday setting, and their spatial injury profile.Methods This is a retrospective analysis of trauma registry and medical examiners’ data, collected between 2013 and 2017. The majority of patients were male. The median age was 32 years. Incidents were geocoded by ZIP code, and mapped using Quantum Geographic Information System (QGIS).Results We identified 139 patients from medical examiner records and UAB’s trauma registry who might have benefitted from STB intervention. The number of incidents per year ranged from 22 to 35, averaging 2.3 incidents per month. There was no evidence of geographical clustering, although the small number of incidents precluded a formal geostatistical analysis.Conclusion The number of patients who might benefit from STB interventions on a daily basis is small, and incident locations are difficult to predict. Educating the public in how to stop bleeding is appealing, but providing easy and widespread access to STB kits may be difficult. Although there are parallels to the provision of cardiopulmonary resuscitation and defibrillation for cardiac arrest, there are also differences, which should not be overlooked.