• BMC medical education · Jun 2018

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

    • Alexander Knobel, Daniel Overheu, Matthias Gruessing, Ingke Juergensen, and Johannes Struewer.
    • Department of Orthopaedics and Trauma Surgery, Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Rahel-Straus Str. 10, 26133, Oldenburg, Germany. knobel.alexander@klinikum-oldenburg.de.
    • BMC Med Educ. 2018 Jun 7; 18 (1): 127.

    BackgroundTo 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.MethodsThe 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.ResultsWe 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).ConclusionMonthly video assisted team based in situ training with video debriefing significantly reduces resuscitation time in the emergency bay.

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