Underlag för nationell strategi för utbildningskoncepetet Stoppa blödningen

Background:
Uncontrolled bleeding is a leading cause of preventable death following trauma, often occurring before professional medical care can be delivered. Training laypersons in basic hemorrhage control has therefore emerged as an important strategy to improve survival in mass casualty and everyday trauma situations. The “Stoppa blödningen” (Stop the Bleed) concept was developed in Sweden to enhance public preparedness and strengthen societal resilience through education in bleeding control. 

Objective:
This report aimed to evaluate the implementation of Stoppa blödningen training activities conducted in Sweden during 2024 and to provide a strategic foundation for future national dissemination and development of the educational concept.

Methods:
The study combined evaluation of conducted training programs with a broader strategic analysis. Training outcomes were assessed through participant surveys and feedback from instructor and instructor-trainer courses. Additionally, literature reviews, international comparisons, and contextual analyses of trauma epidemiology and first aid education were integrated to inform recommendations for large-scale implementation.

Results:
A total of 23 instructor trainers and 23 instructors from multiple voluntary organizations were trained, generating a substantial capacity for further dissemination. Estimates suggest that this train-the-trainer model could enable education of over 20,000 laypersons annually. Participants reported high satisfaction with course design, particularly the emphasis on practical skills and interactive learning. However, challenges included time constraints, extensive preparatory materials, and administrative burden. The findings highlight the effectiveness of structured, multi-level training programs and demonstrate strong participant motivation linked to the life-saving purpose of hemorrhage control. Evidence from the literature confirms that layperson training improves knowledge, skills, confidence, and willingness to act in emergency situations.