Structured trauma resuscitation team training augmented by simulation improved teamwork domain ratings and reduced time to CT scanner, intubation, and operating room¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2014 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? An uncontrolled before-and-after study found significant improvement in all teamwork domain ratings (leadership P = 0.003; situation monitoring P = 0.009; mutual support P = 0.004; communication P = 0.001; overall P < 0.001) and significant decreased time to CT scanner (26.4-22.1 min, P = 0.005), endotracheal intubation (10.1-6.6 min, P = 0.049), and operating room (130.1-94.5 min, P = 0.021). → Boet Sylvain 2014

Evidence¶

Boet Sylvain 2014¶

Boet Sylvain, Bould M. Dylan, Fung Lillia, Qosa Haytham, Perrier Laure, Tavares Walter, Reeves Scott, Tricco Andrea C. (2014). Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Canadian Journal of Anaesthesia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028539/

q2 · i? · review · r3

Uncontrolled before-and-after study of 114 trauma team members (28 surgery residents, 6 faculty surgeons, 80 ED nurses) comparing clinical outcome and efficiency of care pre and post team training. Found "significant decreased time... for: arrival to CT scanner (26.4-22.1 min, P = 0.005), endotracheal intubation (10.1-6.6 min, P = 0.049), and operating room (130.1-94.5 min, P = 0.021)" plus improved teamwork ratings.

"A significant decreased time was observed after the training for: arrival to CT scanner (26.4-22.1 min, P = 0.005), endotracheal intubation (10.1-6.6 min, P = 0.049), and operating room (130.1-94.5 min, P = 0.021)"

Discussion¶

Related Claims¶

• A relatively brief four-hour simulation-based curriculum improved clinical performance of multidisciplinary trauma teams, including a 16% reduction in mean overall ED resuscitation time — related
• In situ simulation improved teamwork behaviours in 12 of 14 domains during the simulation phase, but benefits returned to baseline when the program was discontinued — related
• In one included study, simulation-based team training in a trauma bay was followed by a 16 percent reduction in total resuscitation time and faster completion of primary surveys. — related
• Evidence that NTS training improves clinical or process outcomes in EDs is limited but generally favourable in single-centre studies, including shorter resuscitation times and improved protocol adherence (low to very low certainty). — a broader claim this one bears on