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Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course
PURPOSE: The threat of terror is omnipresent in Europe and the number of attacks worldwide is increasing. The target of attacks in Europe is usually the civilian population. Incalculable dangerous situations at the scene of the event and severe injury patterns such as complex gunshot and explosion i...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931164/ https://www.ncbi.nlm.nih.gov/pubmed/36792724 http://dx.doi.org/10.1007/s00068-022-02217-1 |
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author | Achatz, Gerhard Reckziegel, Alexander Friemert, Benedikt Blätzinger, Markus Hinz-Bauer, Simone Franke, Axel Bieler, Dan Paffrath, Thomas Hoth, Patrick |
author_facet | Achatz, Gerhard Reckziegel, Alexander Friemert, Benedikt Blätzinger, Markus Hinz-Bauer, Simone Franke, Axel Bieler, Dan Paffrath, Thomas Hoth, Patrick |
author_sort | Achatz, Gerhard |
collection | PubMed |
description | PURPOSE: The threat of terror is omnipresent in Europe and the number of attacks worldwide is increasing. The target of attacks in Europe is usually the civilian population. Incalculable dangerous situations at the scene of the event and severe injury patterns such as complex gunshot and explosion injuries with a high number of highly life-threatening people present rescue forces, emergency physicians and subsequently hospitals with medical, organizational as well as tactical and strategic challenges. The Terror and Disaster Surgical Care (TDSC(®)) course trains clinical decision-makers to meet these challenges of a TerrorMASCAL in the first 24–48 h. METHODS: A table-top exercise was developed for the TDSC(®) course as a decision training tool, which was prospectively evaluated in six courses. The evaluation took place in 3 courses of the version 1.0, in 3 courses in the further developed version 2.0 to different target values like, e.g., the accuracy of the in-hospital triage. Furthermore, 16 TDSC(®) course instructors were evaluated. RESULTS: For the evaluation, n = 360 patient charts for version 1.0 and n = 369 for version 2.0 could be evaluated. Overall, the table-top exercise was found to be suitable for training of internal clinical decision makers. Version 2.0 was also able to depict the action and decision-making paths in a stable and valid manner compared to the previous version 1.0. The evaluation of the instructors also confirmed the further value and improvement of version 2.0. CONCLUSION: With this prospective study, the table-top exercise of the TDSC(®) course was tested for decision stability and consistency of the participants’ decision paths. This could be proven for the selected target variables, it further showed an improvement of the training situation. A further development of the table-top exercise, in particular also using digital modules, will allow a further optimization. http://www.bundeswehrkrankenhaus-ulm.de |
format | Online Article Text |
id | pubmed-9931164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-99311642023-02-16 Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course Achatz, Gerhard Reckziegel, Alexander Friemert, Benedikt Blätzinger, Markus Hinz-Bauer, Simone Franke, Axel Bieler, Dan Paffrath, Thomas Hoth, Patrick Eur J Trauma Emerg Surg Original Article PURPOSE: The threat of terror is omnipresent in Europe and the number of attacks worldwide is increasing. The target of attacks in Europe is usually the civilian population. Incalculable dangerous situations at the scene of the event and severe injury patterns such as complex gunshot and explosion injuries with a high number of highly life-threatening people present rescue forces, emergency physicians and subsequently hospitals with medical, organizational as well as tactical and strategic challenges. The Terror and Disaster Surgical Care (TDSC(®)) course trains clinical decision-makers to meet these challenges of a TerrorMASCAL in the first 24–48 h. METHODS: A table-top exercise was developed for the TDSC(®) course as a decision training tool, which was prospectively evaluated in six courses. The evaluation took place in 3 courses of the version 1.0, in 3 courses in the further developed version 2.0 to different target values like, e.g., the accuracy of the in-hospital triage. Furthermore, 16 TDSC(®) course instructors were evaluated. RESULTS: For the evaluation, n = 360 patient charts for version 1.0 and n = 369 for version 2.0 could be evaluated. Overall, the table-top exercise was found to be suitable for training of internal clinical decision makers. Version 2.0 was also able to depict the action and decision-making paths in a stable and valid manner compared to the previous version 1.0. The evaluation of the instructors also confirmed the further value and improvement of version 2.0. CONCLUSION: With this prospective study, the table-top exercise of the TDSC(®) course was tested for decision stability and consistency of the participants’ decision paths. This could be proven for the selected target variables, it further showed an improvement of the training situation. A further development of the table-top exercise, in particular also using digital modules, will allow a further optimization. http://www.bundeswehrkrankenhaus-ulm.de Springer Berlin Heidelberg 2023-02-15 2023 /pmc/articles/PMC9931164/ /pubmed/36792724 http://dx.doi.org/10.1007/s00068-022-02217-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Achatz, Gerhard Reckziegel, Alexander Friemert, Benedikt Blätzinger, Markus Hinz-Bauer, Simone Franke, Axel Bieler, Dan Paffrath, Thomas Hoth, Patrick Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title | Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title_full | Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title_fullStr | Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title_full_unstemmed | Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title_short | Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSC(®)) course |
title_sort | evaluation of the decision-making process within the table-top exercise of the terror and disaster surgical care (tdsc(®)) course |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931164/ https://www.ncbi.nlm.nih.gov/pubmed/36792724 http://dx.doi.org/10.1007/s00068-022-02217-1 |
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