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The moment that can save a life happens before the hospital

Dr. Darrell Hunt explains that life-saving trauma care often begins before a patient reaches the hospital, with bystanders playing a critical role in controlling severe bleeding during the first few minutes after an injury.

Darrell Hunt, MD, trauma medical director
May 20, 2026
Dr. Darrell Hunt smiles while wearing a white lab coat and a red and blue stripe tie.

It can happen anywhere. A car crash. A fall at home. A workplace accident. An injury causing severe bleeding can become life-threatening in minutes, and the person closest is often the only one who can help right away.

As a trauma medical director at TriStar Skyline Medical Center, I have seen how those first moments after an injury shape what happens next. When bleeding is controlled at the scene patients arrive with a stronger chance at recovery. When it is not, even the most advanced tools and treatments can be working against the clock.

Stop the Bleed is a national initiative that teaches people how to recognize life-threatening bleeding and take action. The steps are clear and practical. Apply firm pressure, pack a deep wound, and use a tourniquet when appropriate. These are not advanced medical techniques. They are practical actions that can keep someone alive until help arrives.

In many emergencies, the first person on the scene is not a clinician. It is a bystander. That could be a neighbor, a coworker or a stranger. Emergency medical services teams respond quickly, but those first few minutes belong to the people already there. With training, they can help control bleeding and change the course of care before it even begins.

That early response has a direct impact on trauma care. When patients arrive with bleeding under control, our teams can move quickly into surgery or other treatments that support recovery. It allows us to focus on what comes next, rather than trying to regain lost time.

At TriStar Skyline, the connection between community action and hospital care is clear. As part of TriStar Health and HCA Healthcare, our colleagues work alongside first responders and community partners to improve outcomes for patients across Middle Tennessee. From the scene of an injury to the trauma bay, every step matters. This shared effort reflects our purpose to care for and improve human life.

During May, many TriStar Health facilities are offering Stop the Bleed training for the community. In about an hour, participants learn how to recognize life-threatening bleeding and take action with confidence. To learn more or find a class, visit STOP THE BLEED® | HCA Healthcare.

These skills are simple, but their impact is powerful. They turn bystanders into immediate responders. They bring care to the moment it is needed most. And they help improve patient outcomes across our community.

During Stop the Bleed Month, I encourage everyone to take the time to learn these skills. Keep a bleeding control kit nearby. Talk with your workplace, school or community group about hosting a training.

Trauma care does not begin when a patient enters the hospital. It begins at the scene. When more people are prepared to act, more lives can be saved.

Published:
May 20, 2026
Location:
TriStar Skyline Medical Center

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