Welcome to AutoTQ Training! Thank you so much for being part of our training! Please fill out the following form before you begin training. Informed Consent * Purpose of the Study You are being invited to participate in a brief research study to evaluate how a training session affects participants' knowledge and confidence in using the AutoTQ® tourniquet. This information will help us assess the effectiveness of our training and improve future educational resources. What You’ll Do If you agree to participate, you will complete two short surveys: one before the training and one after. Each survey takes approximately 2–3 minutes and asks about your confidence and understanding related to bleeding control and tourniquet use. Voluntary Participation Participation in this study is entirely voluntary. You may choose not to take part, or to stop at any time, without any penalty or loss of benefits. Confidentiality Your survey responses will be stored securely. Any personal information (such as your name or email, if collected) will be used only for operational purposes and will not be included in the research dataset. Data used for analysis will be de-identified, and results will only be shared in aggregate form. Risks and Benefits There are no expected risks associated with participating in this study. While there are no direct benefits to you, your participation will help improve public hemorrhage control training. Contact Information If you have questions about this study, please contact: Hannah Herbst Email: [email protected] Phone: (561) 866-9697 Consent to Participate By selecting “I accept” and proceeding with the survey, you confirm that you have read and understood the information above and voluntarily agree to participate in this research study. I accept Information about Trainee These questions are for the person who completed the training today. Trainee Name * NOTE: Providing your name and email is used for the purpose of linking the survey to your training account and will be excluded from any research dataset. First Name Last Name Trainee Email * Trainee gender * Male Female Trainee Date of Birth * MM DD YYYY Trainee level of education * Detail your highest level of education- elementary, middle, high school, bachelor's degree, masters degree, etc. Previous medical/trauma experience * Have you ever rendered first aid in real or simulated emergency settings? If yes, please specify. Trainee role / profession * What do you do for a living? i.e. student, first responder, healthcare provider, librarian, waste management professional Level of English Proficiency * Fluent Conversational Proficiency Elementary Proficiency Very limited / no English Trainee's first language * Level of Training * Check below for any first aid training you have. Tourniquet (i.e. Stop the Bleed course) CPR AED Certified paramedic / EMT None Other Level of Experience with AutoTQ * Today is my first time seeing and using AutoTQ. I've seen it before today, but have never used it. I've used AutoTQ before. Other (please explain) Pre-Knowledge Questions What do tourniquets do? * a) They help you breathe during an emergency b) They cool down the body when someone has a fever c) It stops dangerous bleeding from an arm or leg d) They keep your heart beating What is the most appropriate location to place a tourniquet on a bleeding limb? * a) below the wound b) directly over the wound c) as high as possible above the wound, on a joint d) as high as possible above the wound, on a forearm or upper leg How do you confirm that a tourniquet has been applied effectively? * a) the limb turns pale b) the bleeding stops c) the patient screams in pain d) the limb turns purple Which of the following is true about tourniquet use? * a) tourniquets should never be used on children b) tourniquets can safely stay on for 8+ hours c) a tourniquet should be loosened every 15 minutes d) tourniquets are appropriate for life-threatening limb bleeding When is the use of a tourniquet appropriate? * a) for minor cuts or scrapes b) when there is bleeding from a limb that can't be controlled by direct presure c) to treat internal abdominal bleeding d) when the patient is unconscious Acknowledge how comfortable you are with each statement: * If someone was bleeding badly, I would know what to do. Strongly Disagree Disagree Neutral Agree Strongly Agree I can put a tourniquet on someone by myself. Strongly Disagree Disagree Neutral Agree Strongly Agree I would be too nervous to try using a tourniquet if someone was bleeding. Strongly Disagree Disagree Neutral Agree Strongly Agree I can tell the difference between minor bleeding and life-threatening bleeding. Strongly Disagree Disagree Neutral Agree Strongly Agree I know where to place a tourniquet on an arm or a leg. Strongly Disagree Disagree Neutral Agree Strongly Agree Today's Date MM DD YYYY Thank you! Please close this window and return to the training platform.
