Multidisciplinary trauma call simulated training—A first for the UK

  • Monkhouse S
  • King B
  • Jonas S
  • et al.
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Abstract

Background and Purpose: To address the deficiency in trauma call training and to aid multidisciplinary communication and teamwork. Methodology: We set up a real-time trauma call scenario in the resuscitation room using a computerised simulator to represent the patient. Three trainees (1 in anaesthetics, 1 in emergency medicine and 1 in surgery) were selected and were pre-warned that they would receive a trauma bleep during the morning. Their commitments were covered to allow availability. On receiving the audible bleep (simulated trauma call - A&E - eta 5 min) the chosen trainees assembled in the resuscitation room. The A&E nurses had been selected to help and were pre warned about the trauma. The A&E consultant gave information to the trainees that a 30 year old man had fall from a height of 10 m. Moments later, 2 paramedics brought the simulator on a trolley into the room and the trauma proceeded in real time. The computer programme was set up so that the simulator clinically deteriorated, necessitating chest drain insertion and subsequent intubation. These manoeuvres were possible on the manikin. The chest drain bottle was then substituted for a pre-filled bottle with red fluid, simulating haemorrhage. All trainees were assessed using standardised assessment tools looking primarily at team work, communication, clinical competence and outcome. Everything was in place as it would be in reality, including availability of consultant colleagues for advice/help. Conclusion: Feedback was universally positive. All trainees felt that this was realistic. Feedback and reflection was useful and highlighted areas of concern to be addressed. We believe this to be a first in the UK and will become part of the mandatory training for trainees in our region.

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Monkhouse, S. J. W., King, B., Jonas, S. C., Nagaswaren, H., & Rodd, C. (2011). Multidisciplinary trauma call simulated training—A first for the UK. Injury Extra, 42(9), 128. https://doi.org/10.1016/j.injury.2011.06.294

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