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Severe Bleeding Control Before Triage

What do you think – stop all severe bleeding before any additional patient triage?

mass hemorrhage runner(s) is a pre-triage action to rapidly move through victims to identify only the victims with life-threatening bleeding. Mike Clumpner, who has extensively researched active shooter incidents, described the role and importance of a mass hemorrhage runner in a World Trauma Symposium presentation on Oct. 31, 2018.

“Before you even start triage, send initial EMS crews through patients as a ‘mass hemorrhage runner’ to find the patients who might be bleeding out. [Triage doesn’t begin] until the runner confirms there is no one bleeding to death,” he advised.

Read more at Rapid Response: Active shooter response command decisions are made by first arriving ambulance crews, fire companies and police officers

By Greg Friese

Greg Friese, Stevens Point, Wisconsin, is an author, educator, paramedic, and marathon runner.

Greg was the co-host of the award winning EMSEduCast podcast, the only podcast by and for EMS educators. Greg has written for,, Wilderness Medical Associates, JEMS Magazine, and EMS World Magazine, and the NAEMSE Educator Newsletter.