Mass Casualties

Pikoulis, Emmanouil; Pikouli, Anastasia; Kalogeropoulos, Athanasios

doi:10.1007/978-3-031-22599-4_6

Textbook of Emergency General Surgery 2023

DOI: 10.1007/978-3-031-22599-4_6

|View full text |Cite

Mass Casualties

Emmanouil Pikoulis

Anastasia Pikouli

Athanasios Kalogeropoulos

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ensuring that there are sufficient surgical personnel to care for these patients may be a challenge, especially in rural, remote, or austere care environments. 3 In 2009, Defense Secretary Robert Gates implemented the Golden Hour policy to ensure that surgical teams were within 60 minutes of any likely possible casualty in Iraq or Afghanistan. 4 With low-intensity conflicts and counter-terrorism operations, such a policy is relatively easy to implement.…”

mentioning

confidence: 99%

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Andreatta,

Graybill,

Bradley

et al. 2024

J Trauma Acute Care Surg

View full text Add to dashboard Cite

BACKGROUND The clinical demands of mass casualty events strain even the most well-equipped trauma centers and are especially challenging in resource-limited rural, remote, or austere environments. Gynecologists and urologists care for patients with pelvic and abdominal injuries, but the extent to which they are able to serve as “force multipliers” for trauma care is unclear. This study examined the abilities of urologists and gynecologists to perform 32 trauma procedures after mentored training by expert trauma educators to inform the potential for these specialists to independently care for trauma patients. METHODS Urological (6), gynecological surgeons (6), senior (PGY5) general surgery residents (6), and non-trauma trained general surgeons (8) completed a rigorous trauma training program (ASSET+). All participants were assessed in their trauma knowledge and surgical abilities performing 32 trauma procedures pre/post mentored training by expert trauma surgeons. Performance benchmarks were set for knowledge (80%) and independent, accurate completion of all procedural components within a realistic time window (90%). RESULTS General surgery participants demonstrated greater trauma knowledge than gynecologists and urologists; however, none of the specialties reached the 80% benchmark. Pre-training, general surgery and urology participants outperformed gynecologists for overall procedural abilities. Post-training, only general surgeons met the 90% benchmark. Post-hoc analysis revealed no differences between the groups performing most pelvic and abdominal procedures, however knowledge associated with decision making and judgment in the provision of trauma care was significantly below the benchmark for gynecologists and urologists, even after training. CONCLUSION For physiologically stable patients with traumatic injuries to the abdomen, pelvis or retroperitoneum, these specialists might be able to provide appropriate care; however, they would best benefit trauma patients in the capacity of highly skilled assisting surgeons to trauma specialists. These specialists should not be considered for solo resuscitative surgical care. LEVEL OF EVIDENCE Therapeutic/Care Management, Level III/IV.

show abstract

mentioning

confidence: 99%

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Andreatta,

Graybill,

Bradley

et al. 2024

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Mass Casualties

Cited by 1 publication

References 19 publications

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Contact Info

Product

Resources

About