• Eur J Emerg Med · Apr 2020

    Observational Study

    What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis.

    • Vytautas Aukstakalnis, Zilvinas Dambrauskas, Kestutis Stasaitis, Linas Darginavicius, Paulius Dobozinskas, Nedas Jasinskas, and Dinas Vaitkaitis.
    • Department of Emergency Medicine.
    • Eur J Emerg Med. 2020 Apr 1; 27 (2): 121-124.

    IntroductionA precise tool for analysis of trauma team performance is missing.ObjectivesTo create a framework for trauma team performance analysis and feedback.MethodsAn observational study in a level I trauma centre in Lithuania was performed from January 1 2017 to August 31 2017. Audio/video review process was used to evaluate technical and nontechnical performance of the trauma team.ResultsIn total, 143 trauma team activations were analysed. The mean rate of completion for the primary survey based on Advanced Trauma Life Support principles was 68.5%. Technical steps of patient resuscitation were measured in seconds during first hour of the treatment. The T-NOTECHS scale mean score was 11.99 (SD 2.9).ConclusionDuring the study period, we were able to measure the time needed for certain steps in trauma patient evaluation and management. Based on this analysis, a performance improvement program will be devised, including the HybridLab medical simulation, audio/video debriefing, and individualised feedback sessions.

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