Format

Send to

Choose Destination
Surgery. 2016 Sep;160(3):586-90. doi: 10.1016/j.surg.2016.03.029. Epub 2016 May 24.

Immersion team training in a realistic environment improves team performance in trauma resuscitation.

Author information

1
Naval Medical Center San Diego, Bioskills and Simulation Training Center, San Diego, CA. Electronic address: kris.siriratsivawong@gmail.com.
2
Naval Medical Center San Diego, Bioskills and Simulation Training Center, San Diego, CA.

Abstract

BACKGROUND:

In the US military, it is common for health care teams to be formed ad hoc and expected to function cohesively as a unit. Poor team dynamics decreases the effectiveness of trauma care delivery. The US Navy Fleet Surgical Team Three has developed a simulation-based trauma initiative-the Shipboard Surgical Trauma Training (S2T2) Course-that emphasizes team dynamics to improve the delivery of trauma care to the severely injured patient.

METHODS:

The S2T2 Course combines classroom didactics with hands-on simulation over a period of 6 days, culminating in a daylong, mass casualty scenario. Each resuscitation team was initially evaluated with a simulated trauma resuscitation scenario then retested on the same scenario after completing the course. A written exam was also administered individually both before and after the course. A survey was administered to assess the participants' perceived effectiveness of the course on overall team training.

RESULTS:

From the evaluation of 20 resuscitation teams made up of 123 medical personnel, there was a decrease in the mean time needed to perform the simulated trauma resuscitation, from a mean of 24.4 minutes to 13.5 minutes (P < .01), a decrease in the mean number of critical events missed, from 5.15 to 1.00 (P < .01), and a mean improvement of 41% in written test scores. More than 90% of participants rated the course as highly effective for improving team dynamics.

CONCLUSION:

A team-based trauma course with immersion in a realistic environment is an effective tool for improving team performance in trauma training. This approach has high potential to improve trauma care and patient outcomes. The benefits of this team-based course can be adapted to the civilian rural sector, where gaps have been identified in trauma care.

PMID:
27233635
DOI:
10.1016/j.surg.2016.03.029
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center