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Mo. 鈥楽top the Bleed Act鈥 requires bleeding control kits, training in schools

The law requires annual training and emergency protocols to treat traumatic injuries before EMS arrives

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Missouri State Capitol.

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JEFFERSON CITY, Mo. 鈥 Missouri has enacted a new law requiring schools to stock bleeding control kits and train staff to respond to traumatic injuries 鈥 a move aimed at improving emergency preparedness and saving lives before first responders arrive.

The (SB 68), signed into law in July with strong bipartisan support, expands on Missouri鈥檚 earlier efforts to improve emergency preparedness, such as HB 14 (2023), which funded school safety initiatives, including bleeding control kits and AEDs. The , which advocated for the legislation, praised lawmakers for strengthening public access to lifesaving tools and training.

| WATCH NOW: On demand: Bringing whole blood to the front lines of EMS

鈥淕etting this bill passed was a group effort of the Missouri ACS Committee on Trauma (MO COT). As the MO COT chair, I cannot be prouder of all of our trauma programs. We鈥檝e had local grassroots work going on for several years, and that persistence paid off,鈥 bill advocate Douglas J. E. Schuerer, MD, FACS said. 鈥淎lthough this took time, it shows that progress may be slow but can be very effective. In the end, this bill had broad bipartisan support.鈥

The key elements of the law:

  • Requires schools to develop a protocol for responding to traumatic blood loss
  • Mandates bleeding control kits in schools, equipped with bandages, gloves, and tourniquets
  • Requires at least one staff member per school to receive annual bleeding control training
  • Grants Good Samaritan protections to school personnel who use a bleeding control kit in good faith
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Bill Carey is the associate editor for FireRescue1.com and 兔子先生.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.