Stoppa blödningen för skolor En förstudie om förutsättningar för implementering i svenska gymnasieskolor
2025
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Sammanfattning
Background:
Uncontrolled external hemorrhage is a leading preventable cause of death in both civilian trauma and conflict-related injuries. The Stop the Bleed (STB) initiative has demonstrated effectiveness in improving layperson skills in hemorrhage control. While STB training has been widely implemented among adults, its integration into school settings in Sweden has not previously been evaluated.
Uncontrolled external hemorrhage is a leading preventable cause of death in both civilian trauma and conflict-related injuries. The Stop the Bleed (STB) initiative has demonstrated effectiveness in improving layperson skills in hemorrhage control. While STB training has been widely implemented among adults, its integration into school settings in Sweden has not previously been evaluated.
Objective:
This pre-study aimed to assess the feasibility, opportunities, and challenges of implementing the Stop the Bleed educational concept in Swedish upper secondary schools, drawing on international experiences—particularly the U.S. FAST (First Aid for Severe Trauma) program—and adapting them to a Swedish educational and regulatory context.
This pre-study aimed to assess the feasibility, opportunities, and challenges of implementing the Stop the Bleed educational concept in Swedish upper secondary schools, drawing on international experiences—particularly the U.S. FAST (First Aid for Severe Trauma) program—and adapting them to a Swedish educational and regulatory context.
Results:
Using a qualitative design, data were collected through interviews (n=17), two workshops with teachers and stakeholders, and pilot teaching sessions in upper secondary school classes. Thematic analysis identified key facilitators for implementation, including high perceived relevance, alignment with existing first aid curricula, and strong student engagement. Major challenges included time constraints within school schedules, variability in resources, need for standardized teaching materials, and the requirement for national guidelines. Pilot teaching demonstrated that students could successfully perform core hemorrhage control techniques such as direct pressure and tourniquet application, while more complex skills like wound packing required additional time and instructor support.
Using a qualitative design, data were collected through interviews (n=17), two workshops with teachers and stakeholders, and pilot teaching sessions in upper secondary school classes. Thematic analysis identified key facilitators for implementation, including high perceived relevance, alignment with existing first aid curricula, and strong student engagement. Major challenges included time constraints within school schedules, variability in resources, need for standardized teaching materials, and the requirement for national guidelines. Pilot teaching demonstrated that students could successfully perform core hemorrhage control techniques such as direct pressure and tourniquet application, while more complex skills like wound packing required additional time and instructor support.
Conclusions:
Implementation of Stop the Bleed training in Swedish upper secondary schools is feasible and perceived as highly relevant by educators and stakeholders. Successful large-scale implementation requires standardized curricula, national guidelines, instructor training based on a train-the-trainer model, and sustainable logistical and financial support. Integrating hemorrhage control into existing first aid education may strengthen societal preparedness and improve outcomes in acute injury situations.
Implementation of Stop the Bleed training in Swedish upper secondary schools is feasible and perceived as highly relevant by educators and stakeholders. Successful large-scale implementation requires standardized curricula, national guidelines, instructor training based on a train-the-trainer model, and sustainable logistical and financial support. Integrating hemorrhage control into existing first aid education may strengthen societal preparedness and improve outcomes in acute injury situations.
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