Lawrence M Gillman1, Peter Brindley2, John Damian Paton-Gay3, Paul T Engels4, Jason Park5, Ashley Vergis5, Sandy Widder3. 1. Department of Surgery, University of Manitoba, Z3053 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: gillmanlm@yahoo.ca. 2. Division of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada. 3. Department of Surgery, University of Alberta, Edmonton, Alberta, Canada. 4. Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Department of Critical Care Medicine, McMaster University, Hamilton, Ontario, Canada. 5. Department of Surgery, University of Manitoba, Z3053 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, Canada.
Abstract
BACKGROUND: We previously reported on a pilot trauma multidisciplinary crisis resource course titled S.T.A.R.T.T. (Simulated Trauma and Resuscitative Team Training). Here, we study the course's evolution. METHODS: Satisfaction was evaluated by postcourse survey. Trauma teams were evaluated using the Ottawa global rating scale and an Advanced Trauma Life Support primary survey checklist. RESULTS: Eleven "trauma teams," consisting of physicians, nurses, and respiratory therapists, each completed 4 crisis simulations over 3 courses. Satisfaction remained high among participants with overall mean satisfaction being 4.39 on a 5-point Likert scale. As participants progressed through scenarios, improvements in global rating scale scores were seen between the 1st and 4th (29.8 vs 36.1 of 42, P = .022), 2nd and 3rd (28.2 vs 34.6, P = .017), and 2nd and 4th (28.2 vs 36.1, P = .003) scenarios. There were no differences in Advanced Trauma Life Support checklist with mean scores for each scenario ranging 11.3 to 13.2 of 17. CONCLUSIONS: The evolved Simulated Trauma and Resuscitative Team Training curriculum has maintained high participant satisfaction and is associated with improvement in team crisis resource management skills over the duration of the course.
BACKGROUND: We previously reported on a pilot trauma multidisciplinary crisis resource course titled S.T.A.R.T.T. (Simulated Trauma and Resuscitative Team Training). Here, we study the course's evolution. METHODS: Satisfaction was evaluated by postcourse survey. Trauma teams were evaluated using the Ottawa global rating scale and an Advanced Trauma Life Support primary survey checklist. RESULTS: Eleven "trauma teams," consisting of physicians, nurses, and respiratory therapists, each completed 4 crisis simulations over 3 courses. Satisfaction remained high among participants with overall mean satisfaction being 4.39 on a 5-point Likert scale. As participants progressed through scenarios, improvements in global rating scale scores were seen between the 1st and 4th (29.8 vs 36.1 of 42, P = .022), 2nd and 3rd (28.2 vs 34.6, P = .017), and 2nd and 4th (28.2 vs 36.1, P = .003) scenarios. There were no differences in Advanced Trauma Life Support checklist with mean scores for each scenario ranging 11.3 to 13.2 of 17. CONCLUSIONS: The evolved Simulated Trauma and Resuscitative Team Training curriculum has maintained high participant satisfaction and is associated with improvement in team crisis resource management skills over the duration of the course.
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