Department of Emergency Medicine, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania.
Department of Orthopaedics and Traumatology, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania.
Eur J Trauma Emerg Surg. 2024 Aug;50(4):1475-1480. doi: 10.1007/s00068-024-02473-3. Epub 2024 Feb 23.
To determine the impact of structured debriefings (SD) with audio/video review of trauma patients' resuscitation events on trauma team (TT) technical and non-technical skills.
Single-center prospective observational cohort study. The study included all emergency department patients aged 18 years or older who received resuscitation from the TT. Virtual meeting was held with the TT using SD to review one trauma patient resuscitation video. Technical skills improvement was based on adherence to the ATLS protocol and non-technical skills based on T-NOTECHS scale.
There was statistically significant improvement in adherence to the ATLS protocol: 73% [55-82%] vs 91% [82-100%] (p < 0.001); and improvement in T-NOTECHS scale: 12 [10-14] vs 16 [14-19] points (p < 0.001).
In this study, we found that structured debriefings with review of patients' resuscitation video recordings can have a significant positive impact on trauma team performance in the emergency department in both technical and non-technical skills.
确定对创伤患者复苏事件进行结构化讨论（SD）和音频/视频回顾对创伤团队（TT）技术和非技术技能的影响。
单中心前瞻性观察队列研究。该研究纳入了所有在急诊科接受 TT 复苏的年龄在 18 岁或以上的患者。TT 通过虚拟会议使用 SD 来回顾一个创伤患者的复苏视频。技术技能的提高基于对 ATLS 协议的遵守程度，非技术技能则基于 T-NOTECHS 量表。
在遵守 ATLS 协议方面有统计学意义的改善：73% [55-82%] vs 91% [82-100%]（p<0.001）；T-NOTECHS 量表评分也有改善：12 [10-14] vs 16 [14-19] 分（p<0.001）。
在这项研究中，我们发现对患者复苏视频记录进行结构化讨论和审查可以显著提高创伤团队在急诊科的技术和非技术技能表现。
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