定期进行基于团队的创伤复苏现场培训，并结合视频汇报，可提高信心和临床效率。
Regular, in-situ, team-based training in trauma resuscitation with video debriefing enhances confidence and clinical efficiency.
机构信息
Department of Orthopaedics and Trauma Surgery, Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Rahel-Straus Str. 10, 26133, Oldenburg, Germany.
Department of Anaesthesiology, Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Rahel-Straus Str. 10, 26133, Oldenburg, Germany.
出版信息
BMC Med Educ. 2018 Jun 7;18(1):127. doi: 10.1186/s12909-018-1243-x.
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.
背景
评估针对创伤团队成员的定期、多学科、视频回顾培训干预对真实创伤复苏的临床影响。此外，参与人员通过问卷调查评估培训计划。
方法
培训干预是一项定期（每月）、视频回顾、基于团队的创伤模拟。培训在奥尔登堡 Klinikum（1 级，奥尔登堡卡尔冯奥西茨基大学的主要教学医院）创伤科的功能齐全的复苏区（现场）进行，涉及完整的创伤团队。Laerdal® Resusci Anne®假人用作患者模拟器。一个特点是对每个参与团队进行结构化的视频回顾，以分析团队表现。对培训实施前后的数据进行了回顾性分析。
结果
我们发现从患者到达到计算机断层扫描（CT）的时间显著缩短（Spearman 等级相关系数 r = -0.236，p = 0.001）。团队成员对问卷的评估表明，自信心显著增强（p < 0.05）。
结论
每月进行一次现场基于视频的团队培训，并进行视频回顾，可显著缩短急救室的复苏时间。
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