Survey finds most Americans feel unprepared to aid victims after a mass casualty attack

August 24, 2020

Orlando, Fla - Though it's difficult to think about, what we would do in the event of a violent attack has probably crossed most of our minds, especially as the number and scope of these tragic events has risen in recent years. While we hope it's a situation we will never encounter, being prepared to help victims in the wake of tragedy can be extremely powerful. However, a new national survey by Orlando Health finds the majority of Americans are not confident that they could provide life-saving aid following a violent mass attack.

The survey found that although most Americans feel they could call 911 and about half could provide information to first responders, confidence drops when it comes to administering first aid (42%) or applying a tourniquet (41%).

"Most commonly, the first person to encounter a bleeding victim is another victim or bystander, and they can really be the difference between whether somebody lives or dies," said Joseph Ibrahim, MD, trauma medical director at the Level One Trauma Center at Orlando Health Orlando Regional Medical Center (ORMC). "Hemorrhage is responsible for 35 percent of traumatic injury deaths before victims reach the hospital and having basic knowledge on how to control bleeding and care for a wound can save lives."

This critical role of everyday citizens became abundantly clear to Dr. Ibrahim and the trauma team after treating 44 victims of the Pulse Nightclub mass shooting in 2016. That's why they partnered with Stop the Bleed to offer training sessions to schools, businesses and organizations that focus on three simple yet critical skills: Applying pressure, packing a wound and using a tourniquet.

"We try to answer any questions that would come in a trauma situation, like how long a tourniquet can be safely used, how to keep a victim calm and the signs of life-threatening bleeding," Dr. Ibrahim said. "Addressing these issues in a controlled setting and getting hands-on practice with lifelike mannequins helps someone apply what they've learned to a real-life situation."

It's training that Michael McLatchey sought out after helping a critically injured victim of a jet ski accident in the Florida Keys.

"I heard the crash and when I paddled over to the victim and pulled her out of the water, I could see that her leg was completely severed under her right knee and there was obviously a lot of bleeding," McLatchey said. "I had never experienced anything like that before, and I think my reaction to help was just human instinct. I tied a rope around her leg, but I had no idea if what I was doing was effective."

McLatchey wanted to be more prepared if he ever found himself in a position to help again, so not only did he seek out and participate in a Stop the Bleed session at Orlando Health, but he eventually became an instructor there as well. He also changed career paths and is now a medical student with plans to become a trauma surgeon.

"I didn't know that day on the water was going to change my life, but I will never forget the orange tourniquet the paramedics put on the victim's leg when we got her to shore. The bleeding stopped immediately and it saved her life," McLatchey said. "I wanted to be able to have that kind of impact, and I've been lucky enough now to train hundreds of people who also wanted to possess those same skills to save themselves, a family member or a stranger."

Dr. Ibrahim says the goal is that Stop the Bleed for traumatic injuries will become as well known as CPR for cardiac arrest or the Heimlich maneuver for choking. Some participants have already reported back that they have utilized what they've learned to help victims of car crashes and household accidents. He's hoping the program will continue to expand so more people across the country are prepared to help when it's needed most. For information on training sessions near you or to implement the program in your community, go to or

Orlando Health is a not-for-profit healthcare organization with $5.6 billion of assets under management. The system spans nine Florida counties with nearly 450 locations that include 13 wholly-owned or affiliated hospitals and emergency departments; rehabilitation services, cancer centers, heart institutes, imaging and laboratory services, wound care centers, more than 300 physician offices for adults and pediatrics, and 11 urgent care centers in partnership with CareSpot Urgent Care. In FY18, Orlando Health served approximately 167,000 inpatients, more than 2.7 million outpatients, and more than 20,000 international patients. The organization is home to the area's only Level One Trauma Centers for adults and pediatrics, and is a statutory teaching hospital system that offers both specialty and community hospitals. Nearly 3,600 physicians have privileges across the system, which is also one of the area's largest employers with nearly 20,500 employees. Additionally, Orlando Health provides more than $620 million in total value to the community in the form of charity care, community benefit programs and services, community building activities and more. Additional information can be found at

Orlando Health

Related Bleeding Articles from Brightsurf:

Blood-thinner with no bleeding side-effects is here
In a study led by EPFL, scientists have developed a synthetic blood-thinner that, unlike all others, doesn't cause bleeding side-effects.

Rate over time of stroke caused by brain bleeding
This observational study looked at the rate and risk factors of stroke caused by bleeding within the brain (intracerebral hemorrhage) between 1948 and 2016 among 10,000 participants in the Framingham Heart Study.

Soil in wounds can help stem deadly bleeding
New UBC research shows for the first time that soil silicates--the most abundant material on the Earth's crust--play a key role in blood clotting.

Is headache from anesthesia after childbirth associated with risk of bleeding around brain?
This study examined whether postpartum women with headache from anesthesia after neuraxial anesthesia (such as epidural) during childbirth had increased risk of being diagnosed with bleeding around the brain (intracranial subdural hematoma).

Should patients continue blood thinners after experiencing gastrointestinal bleeding?
Anticoagulants and antiplatelet drugs, which are blood thinners such as warfarin and aspirin, are commonly taken to reduce the risk of potentially fatal blood clots, but they carry an increased risk of gastrointestinal bleeding.

Pharmacists in the ER speed delivery of coagulation drug to bleeding patients
A first-of-its-kind study has found that when a pharmacist is present in the emergency room, patients on blood thinners who experience life-threatening bleeding receive a live-saving coagulation drug much more quickly.

Internal bleeding after heart attack may trigger suspicion of cancer
Bleeding during the first six months after discharge from hospital for a heart attack is linked with a subsequent cancer diagnosis, according to research presented today at ESC Congress 2019 together with the World Congress of Cardiology.

One in five haematological cancer patients suffer blood clots or bleeding
In the years following haematological cancer, one in five survivors suffer a blood clot or bleeding which requires hospital treatment.

Reversal agent decreases life-threatening bleeding
The blood thinner reversal agent - andexanet alfa -was effective at stopping acute major bleeding in patients taking factor Xa inhibitor blood thinners.

Draining blood from bleeding stroke may prevent death
A minimally invasive surgery combining the use of a clot-busting drug and a catheter to drain blood from the brain of hemorrhagic stroke patients reduced swelling and improved patients' prognoses, according to preliminary research.

Read More: Bleeding News and Bleeding Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to