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Regular, in-situ, team-based training in trauma resuscitation with video debriefing enhances confidence and clinical efficiency

BACKGROUND: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. METHODS: The training intervention is a regular (...

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Detalles Bibliográficos
Autores principales: Knobel, Alexander, Overheu, Daniel, Gruessing, Matthias, Juergensen, Ingke, Struewer, Johannes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992768/
https://www.ncbi.nlm.nih.gov/pubmed/29879979
http://dx.doi.org/10.1186/s12909-018-1243-x
Descripción
Sumario:BACKGROUND: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. METHODS: The training intervention is a regular (monthly), video debriefed, team-based trauma simulation. Training takes place in the fully functional resuscitation bay (in-situ) of the Department of Traumatology at the Klinikum Oldenburg (Level 1, primary teaching hospital for the Carl von Ossietzky University Oldenburg) involving a complete trauma team. Laerdal® Resusci Anne® dummy serves as the patient simulator. A special feature is a structured video debriefing of each participating team to analyse team performance. Data before and after implementation of training was retrospectively analysed. RESULTS: We found a significant decrease in the time from arrival of the patient to computer tomography (CT, Spearman rank coefficient r = − 0.236, p = 0.001). Evaluation of the questionnaire by team members described a significant increase in self-confidence (p < 0.05). CONCLUSION: Monthly video assisted team based in situ training with video debriefing significantly reduces resuscitation time in the emergency bay.