Three-hour simulation-based tourniquet training program (ATLS/TCCC/STB-based)

Design · All designs
Evidence · 3 claims (2 for, 1 mixed) · 1 study (1 causal), q2 · 0 of 1 report an effect size · 3 claims rest on one study

Description

A structured training program of "a three hours of theoretical and practical instruction" designed by two emergency medicine specialists based on ATLS, TCCC and Stop the Bleed frameworks. It comprised one hour of theoretical instruction and two hours of hands-on practical sessions with a 1:1 instructor-to-participant ratio, using the FR19 extremity tourniquet, improvised tourniquets, and the SAM Junctional Tourniquet on arm task trainers and full-body manikins.

Design Implications

Context

Requirements

• One-on-one simulation-based training with immediate corrective feedback
• Independent raters separate from training instructors for assessment

Constraints

• Assessors were not fully blinded to study phase, introducing residual risk of observer bias

Target Learners

• medical interns during emergency medicine rotation

Learning Goals

• extremity and junctional tourniquet application
• hemorrhage control knowledge and confidence

Claims

• Simulation Tourniquet Training Improves Intern Outcomes [+M]
• Extremity tourniquet skill and self-confidence decline significantly at two months while remaining above baseline [~W]
• Junctional tourniquet skill scores rose from 1.7 ± 2.1 to 10.8 ± 0.9 and were 10.4 ± 1.0 at two-month follow-up in one single-group pre-post study [+W]

Related Designs

• Rapid-cycle deliberate practice as a framework for high-acuity, low-occurrence procedural training
• Three-part simulation-based breaking bad news curriculum for OB/GYN residents

Examples

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Key Sources

• Sahin Abdul Samet, Yilmaz Mutlu, Imamoglu Melih, Beser Muhammet Fatih, Karaca Yunus, Pasli Sinan, Gunduz Abdulkadir. (2026). Effectiveness and retention of extremity and junctional tourniquet training among medical interns. BMC Medical Education. https://doi.org/10.1186/s12909-026-09111-z

Page metadata

Field	Value
type	design
id	three-hour-tourniquet-simulation-training-program
title	Three-hour simulation-based tourniquet training program (ATLS/TCCC/STB-based)
description	A structured training program of "a three hours of theoretical and practical instruction" designed by two emergency medicine specialists based on ATLS, TCCC and Stop the Bleed frameworks.
status	review
generated	by process:settle-candidates on 2026-11-04
trust	unverified — no one has confirmed this page's content
sources	1 — sahin-abdul-samet-2026

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