Faculty of Health Sciences, Interprofessional Rural Research Team, University of Tromsø, The Arctic University of Norway, N-9600, Hammerfest, Norway.
Department of Anaesthesia & Intensive Care, Haukeland University Hospital, Bergen, Norway.
BMC Emerg Med. 2022 Jul 5;22(1):119. doi: 10.1186/s12873-022-00683-9.
Traumatic injuries are a leading cause of deaths in Norway, especially among younger males. Trauma-related mortality can be reduced by structural measures, such as organization of a trauma system. Many hospitals in Norway treat few seriously injured patients, one of the reasons for development of the Norwegian trauma system. Since its implementation, there has been continuous improvement of this system, including trauma team training. Regular trauma team training is compulsory, with the aims of compensating for lack of experience and maintaining competence. The purpose of this study was to present an overview of current trauma team training activities in Norway.
For this observational study, the authors developed an online questionnaire and mailed it to local trauma coordinators from 38 Norwegian hospitals-including four trauma centers and 34 acute hospitals with trauma function. The study was performed during April-June 2020, with a two-month response window. Trauma team training frequency was assessed in four predefined intervals: < 5, 5-9, 10-15 and > 15 times per year. The response rate was 33 of 38, 87%.
All responding hospitals conducted regular trauma team training. The frequency of training increased significantly from 2013 to 2020 (Chi square test, Chi 8.33, p = 0.04). All hospitals described a quite homogenous approach. The trauma centres trained more frequently as compared to the acute care hospitals (Chi square test, Chi 8.24, p = 0.04).
All responding hospitals performed regular trauma team training using a homogenous approach, which is in line with previous assessments. We observed a minor improvement in frequency compared to prior assessments. Our findings suggest that Norwegian trauma teams likely maintain their competence through team training. All hospitals followed the current recommendations from the National Trauma Plan.
在挪威，创伤是导致死亡的主要原因，尤其是在年轻男性中。通过结构措施，如创伤系统的组织，可以降低与创伤相关的死亡率。挪威的许多医院治疗的严重受伤患者较少，这是开发挪威创伤系统的原因之一。自实施以来，该系统不断得到改进，包括创伤小组培训。定期进行创伤小组培训是强制性的，目的是弥补经验不足和保持能力。本研究旨在概述挪威当前的创伤小组培训活动。
这项观察性研究中，作者开发了一个在线问卷，并将其邮寄给 38 家挪威医院的当地创伤协调员，包括 4 家创伤中心和 34 家具有创伤功能的急性医院。研究于 2020 年 4 月至 6 月进行，响应窗口为两个月。评估创伤小组培训的频率分为四个预定义间隔：<5、5-9、10-15 和>15 次/年。响应率为 38 个中的 33 个，为 87%。
所有参与的医院都进行了定期的创伤小组培训。从 2013 年到 2020 年，培训频率显著增加（卡方检验，Chi 8.33，p=0.04）。所有医院都描述了一个相当同质的方法。与急性护理医院相比，创伤中心的培训频率更高（卡方检验，Chi 8.24，p=0.04）。
所有参与的医院都使用同质方法进行定期的创伤小组培训，这与之前的评估一致。与之前的评估相比，我们观察到频率略有提高。我们的研究结果表明，挪威创伤小组可能通过团队培训保持其能力。所有医院都遵循了国家创伤计划的现行建议。
