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Biochemistry and molecular biology education : a bimonthly publication of the International Union of Biochemistry and Molecular Biology
low middleincome countries lmics account 90 deaths due injury largely due hemorrhage increased hemorrhage mortality burden lmics exacerbated absent ineffective prehospital care hemorrhage management hm essential component prehospital care lmics yet current practices prehospital hm outcomes first responder hm training yet summarized review describes current literature prehospital hm impact first responder hm training lmics articles published january 2000 january 2023 identified using pmc medline scopus databases following prismascr guidelines inclusion criteria spanned first responder training programs delivering prehospital care hm relevant articles assessed quality using newcastleottawa scale initial 994 articles 20 met inclusion criteria representing 16 countries studies included randomized control trials cohort studies case control studies reviews epidemiological studies basic hm curricula found 15 studies advanced hm curricula found six studies traumatic hemorrhage indicated 17 studies obstetric hemorrhage indicated three studies first responders indicated hm use 5576 encounters frequent skill reported using mean improvements hm knowledge acquisition postcourse ranged 23 58 percentage points following training pressure elevation gauze application tourniquet application study summarizes current literature prehospital hm lmics pertaining epidemiology interventions outcomes hm resources priority development