Literature DB >> 24227558

Filling in the gaps of predeployment fleet surgical team training using a team-centered approach.

Tuan N Hoang, Jeff Kang, Anthony J LaPorta, Vyacheslav I Makler, Carissa Chalut.   

Abstract

BACKGROUND: Teamwork and successful communication are essential parts of any medical specialty, especially in the trauma setting. U.S. Navy physicians developed a course for deploying fleet surgical teams to reinforce teamwork, communication, and baseline knowledge of trauma management.
METHOD: The course combines 22 hours of classroom didactics along with 28 hours of hands-on simulation and cadaver-based laboratories to reinforce classroom concepts. It culminates in a 6-hour, multiwave exercise of multiple, critically injured victims of a mass casualty and uses the ?Cut Suit? (Human Worn Partial Task Surgical Simulator; Strategic Operations), which enables performance of multiple realistic surgical procedures as encountered on real casualties. Participants are graded on time taken from initial patient encounter to disposition and the number of errors made. Pre- and post-training written examinations are also given. The course is graded based on participants? evaluation of the course.
RESULTS: The majority of the participants indicated that the course promoted teamwork, enhanced knowledge, and gave confidence. Only 51.72% of participants felt confident in dealing with trauma patients before the course, while 82.76% felt confident afterward (p = .01). Both the time spent on each patient and the number of errors made also decreased after course completion.
CONCLUSION: The course was successful in improving teamwork, communication and base knowledge of all the team members. 2013.

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Mesh:

Year:  2013        PMID: 24227558     DOI: 10.55460/N8YV-J27P

Source DB:  PubMed          Journal:  J Spec Oper Med        ISSN: 1553-9768


  2 in total

1.  Technical innovations that may facilitate real-time telementoring of damage control surgery in austere environments: a proof of concept comparative evaluation of the importance of surgical experience, telepresence, gravity and mentoring in the conduct of damage control laparotomies.

Authors:  Andrew W Kirkpatrick; Anthony LaPorta; Susan Brien; Tim Leslie; Elon Glassberg; Jessica McKee; Chad G Ball; Heather E Wright Beatty; Jocelyn Keillor; Derek J Roberts; Homer Tien
Journal:  Can J Surg       Date:  2015-06       Impact factor: 2.089

2.  The marriage of surgical simulation and telementoring for damage-control surgical training of operational first responders: A pilot study.

Authors:  Andrew W Kirkpatrick; Homer Tien; Anthony T LaPorta; Kit Lavell; Jocelyn Keillor; Heather E Wright Beatty; Jessica Lynn McKee; Susan Brien; Derek J Roberts; Jonathan Wong; Chad G Ball; Andrew Beckett
Journal:  J Trauma Acute Care Surg       Date:  2015-11       Impact factor: 3.313

  2 in total

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