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Catastrophic haemorrhage (bleeding) training - Haemostatic dressings and tourniquets

Celox Gauze

In the Health & Safety Executive's (HSE) June 2016 ebulletin, they formally announced their support of the European Resuscitation Council (ERC) 2015 guidelines, and the use of haemostatic dressings and tourniquets to control very severe bleeding (referred to in medical terminology as "Catastrophic Haemorrhage", or "Catastrophic Bleeding"), where the first aid needs assessment has identified these types of injury as a possibility.

Typical examples of categories of workplace sectors where training for this type of injury might be appropriate are indicated by the HSE as "construction, agriculture, forestry and some aspects of manufacturing". Other examples may include where workers are remote from medical services, where consideration is given to terrorist incidents, such as retail or leisure complexes, sports stadia, or environments where people have exposure to weaponry, such as security or shooting clubs.

This list isn't exhaustive, and you should give consideration to your own first aid needs assessment.

A significant proportion of trauma deaths occur through severe blood loss, and in a worst case scenario, a femoral artery bleed, or other significant wound could cause a patient to bleed to death in as little as about four minutes.

During this training session, we will train learners to identify a catastrophic haemorrhage, and how to control it using a step-wise approach, in line with the Royal College of Surgeons (Edinburgh) Faculty of Pre-Hospital Care, and Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines.

We will also introduce learners to various types of tourniquets, from various manufacturers, and show them different types of haemostatic dressings, whilst facilitating discussion around the benefits of each type of product.

Learners will be taught the skills associated with rapid assessment of trauma injuries, wound packing techniques, and stabilisation of trauma patients.

The skills taught have been proven in battlefield environments over a number of years, and clinical evidence has shown that they do not have the devastating effects on patients that may have previously been mentioned in first aid training in years gone by. Here at RescueSkills, we pride ourselves on our up-to-date techniques, and consider ourselves fortunate and privileged to have direct contact with some of the key people instrumental in bringing these techniques into first aid once again.

For learners booking our First Aid at Work courses, we can offer this as a bolt-on module, either at the end of the course, or on a separate day. This will require extra time, so if requiring to complete this following on from the end of a course, it would mean extending the training days hours. Please contact us for details if this is of interest to you.

For learners involved in forestry or arboriculture, you may require our ""FAW+F" forestry first aid module, which includes this Catastrophic Haemorrhage module. There is no need to book the two separately. Please contact us if you require a "FAW+F" module.

Course contents

By the end of the session, learners will be able to:

  • Recognise & treat catastrophic haemorrhage in accordance with the latest European Resuscitation Council (ERC) 2015 guidelines, and the Health & Safety Executive's (HSE) June 2016 ebulletin
  • Select and use haemostatic dressings appropriately
  • Select and use tourniquets appropriately (CAT, SOF-T, MAT)
  • Demonstrate their skills and knowledge in practical and Q&A sessions to a safe, effective, and prompt standard

Course Duration

2 hours tuition time (approx).

Pre-requisites for attendance

In order to attend and qualify on our Catastrophic Haemorrhage module course, the learner must hold a current (in-date) full First Aid at Work certificate or a recognised equivalent (or higher) qualification.


Certificates of attendance will be issued following successful completion of this course.

Scheduled Courses and Booking

Individual sessions are detailed below with links to book on-line:

No public courses found in the next three months - sorry. Please ask us for details why, as this may be a problem with our databases rather than a real lack of courses.

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We offer courses in Hampshire, West Sussex, Surrey, Berkshire, Dorset, and further afield. We are based in Fareham, Hampshire.

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