Umeå universitets logga

Background: For five years our emergency ward has trained non-technical skills using trauma scenarios in a simulator environment. Reflection-on-action was accomplished by 60 minutes video-facilitated structured debriefing. The aim of this study was to explore whether teams trained in non-technical skills are more efficient in the management of severely wounded patients.

Summary of work: The standardized trauma patient scenario started with an ambulance crew being called

to a location outside the hospital. Patient care was followed from the site of trauma, in the ambulance and

in the emergency room. When the hand-over was finished, the condition was worsened. All ambulance crew and trauma team communication were recorded, synchronised in F-REX and key events time-logged. Nineteen teams with 144 participants were included in the study.

Summary of results: 56% of the participants had trained non-technical skills. 78% of those with ontechnical

skills training, and 62% of those without previous simulator based training, estimated themselves to have appropriate training for the task. The time from the induced worsened condition until the trauma team had assessed airways, breathing, circulation and disabilities were 74±39, 104±45, 172±85 and 223±194 s respectively. No significant effect on the medical performance on basis of previous training in non-technical skills could be detected. Further video analysis is required to more deeply understand the links between teamwork and medical performance.

Conclusions: Trauma team training in CRM principles improves the self-confidence in trauma teams, but not the medical performance.

Take-home messages: Improved non-technical skills might be difficult to translate into improvements in technical skills.