Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
SAMUR - Protección Civil, SAMUR-PC, Madrid, Spain.
Appl Clin Inform. 2023 Aug;14(4):714-724. doi: 10.1055/s-0043-1771396. Epub 2023 Sep 6.
Trauma injuries are one of the main leading causes of death in the world. Training with guidelines and protocols is adequate to provide a fast and efficient treatment to patients that suffer a trauma injury.
This study aimed to evaluate deviations from a set protocol, a new set of metrics has been proposed and tested in a pilot study.
The participants were final-year students from the Universidad Autónoma de Madrid and first-year medical residents from the Hospital Universitario La Paz. They were asked to train four trauma scenarios with a web-based simulator for 2 weeks. A test was performed pre-training and another one post-training to evaluate the evolution of the treatment to those four trauma scenarios considering a predefined trauma protocol and based on the new set of metrics. The scenarios were pelvic and lower limb traumas in a hospital and in a prehospital setting, which allow them to learn and assess different trauma protocols.
The results show that, in general, there is an improvement of the new metrics after training with the simulator.
These new metrics provide comprehensive information for both trainers and trainees. For trainers, the evaluation of the simulation is automated and contains all relevant information to assess the performance of the trainee. And for trainees, it provides valuable real-time information that could support the trauma management learning process.
创伤损伤是世界上主要的死亡原因之一。遵循指南和规范进行培训，可以为遭受创伤损伤的患者提供快速有效的治疗。
本研究旨在评估偏离既定方案的情况，为此提出了一套新的指标，并在试点研究中进行了测试。
参与者为马德里自治大学的最后一年学生和拉帕兹大学医院的第一年住院医师。他们被要求在两周内使用基于网络的模拟器训练四个创伤场景。在培训前和培训后进行测试，以评估基于预定创伤方案和新指标集对这四个创伤场景的治疗效果。这些场景是医院和院前环境中的骨盆和下肢创伤，使他们能够学习和评估不同的创伤方案。
结果表明，总体而言，使用模拟器进行培训后，新指标有所改善。
这些新指标为培训师和学员提供了全面的信息。对于培训师来说，模拟评估是自动化的，包含了评估学员表现所需的所有相关信息。对于学员来说，它提供了有价值的实时信息，有助于支持创伤管理学习过程。
