Sugrue M, Seger M, Kerridge R, Sloane D, Deane S
Department of Trauma Services, Liverpool Hospital, Sydney, Australia.
J Trauma. 1995 Jan;38(1):79-82. doi: 10.1097/00005373-199501000-00021.
This study assessed the performance of the trauma team leader in 50 consecutive trauma resuscitations at Liverpool Hospital over a two-month period. The trauma team consists of intensive care (ICU), emergency, and surgical registrars, three nurses, a wardsman, a radiographer, and a social worker. The team leader position alternates between the ICU and emergency registrar on a fortnightly roster. A panel of specialists experienced in trauma management evaluated 38 aspects of the initial resuscitation. Individual variables received different weightings. The maximum possible score for team leader performance was 80. The mean team leader score was 70.4 +/- 8 (SD). The main deficiencies in the team leader's performances were in their interpersonal communications and in the adequacy of documentation of the history of the injury. In 20% of resuscitations there were failures to completely expose the patient. Medical skills were uniformly well performed. Poor communication with other team members were the main pitfall of the team leader in this study. The team leader score may prove a useful tool in improving the quality of the trauma team.
本研究评估了在两个月期间，利物浦医院连续50次创伤复苏中创伤团队领导者的表现。创伤团队由重症监护室（ICU）医生、急诊科医生、外科住院医生、三名护士、一名护工、一名放射技师和一名社会工作者组成。团队领导者的职位在ICU医生和急诊科医生之间每两周轮流担任一次。一个由在创伤管理方面经验丰富的专家组成的小组对初始复苏的38个方面进行了评估。各个变量被赋予了不同的权重。团队领导者表现的最高可能分数为80分。团队领导者的平均分数为70.4±8（标准差）。团队领导者表现中的主要不足之处在于人际沟通以及损伤史记录的充分性。在20%的复苏中，未能完全暴露患者。医疗技能的执行情况总体良好。在本研究中，与其他团队成员沟通不畅是团队领导者的主要缺陷。团队领导者分数可能是提高创伤团队质量的一个有用工具。
