Simulation Training for a Mass Casualty Incident: Two-Year Experience at the Army Trauma Training Center

King, David R.; Patel, Mayur B.; Feinstein, Ara J.; Earle, Steven A.; Topp, Raymond; Proctor, Kenneth G.

doi:10.1097/01.ta.0000233670.97515.3a

Cited by 47 publications

(36 citation statements)

References 13 publications

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“…Previous reports of simulation training have demonstrated improvements of individuals, teams of surgeons only, and previously established military teams [18][19][20][21]23]. In most trauma centers however, resuscitations are managed by a complex team made up of trauma surgeons, emergency medicine physicians, residents, nurses, respiratory therapists, and possibly others throughout the hospital.…”

Section: Discussionmentioning

confidence: 97%

“…As a consequence of improving technology, high-fidelity human patient simulators are playing an increasing role in training health care professionals [15][16][17]. Training health care providers to manage trauma resuscitations using simulation has been demonstrated to be feasible for individuals as well as for evaluating specific teams before and after a training period [18][19][20][21][22][23].…”

mentioning

confidence: 99%

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Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Falcone

Daugherty

Schweer

et al. 2008

Journal of Pediatric Surgery

169

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Falcone

Daugherty

Schweer

et al. 2008

Journal of Pediatric Surgery

169

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“…The program has been useful in prospectively identifying deficiencies in preparation, triage and team interactions. 28 We identified only 2 Canadian trauma centres (9%) that have joint military and civilian training platforms; however, these programs are predominantly designed as one-way exchanges of information in which senior trauma surgeons train junior military trauma surgeons.…”

Section: Discussionmentioning

confidence: 99%

Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma

Gomez

Ahmed²,

Tien³

et al. 2011

Can J Surg

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Background: Owing to their constant readiness to treat injured patients, trauma centres are essential to regional responses to mass casualty incidents (MCIs). Reviews of recent MCIs suggest that trauma centre preparedness has frequently been limited. We set out to evaluate Canadian trauma centre preparedness and the extent of their integration into a regional response to MCIs. Methods:We conducted a survey of Canadian level-1 trauma centres (n = 29) to characterize their existing disaster-response plans and to identify areas where preparedness could be improved. The survey was directed to the medical director of trauma at each centre. Descriptive statistics were used to analyze responses.Results: Twenty-three (79%) trauma centres in 5 provinces responded. Whereas most (83%) reported the presence of a committee dedicated to disaster preparedness, only half of the medical directors of trauma were members of these committees. Almost half (43%) the institutions had not run any disaster drill in the previous 2 years. Only 70% of trauma centres used communications assets designed to function during MCIs. Additionally, more than half of the trauma directors (59%) did not know if their institutions had the ability to sustain operations for at least 72 hours during MCIs. Conclusion:The results of this study suggest important opportunities to better prepare Canadian trauma centers to respond to an MCI. The main areas identified for potential improvement include the need for the standardization of MCI planning and response at a regional level and the implementation of strategies such as stockpiling of resources and novel communication strategies to avoid functional collapse during an MCI. Contexte :Comme ils sont constamment prêts à traiter des patients traumatisés, les centres de traumatologie jouent un rôle essentiel dans les réponses régionales aux incidents qui font de nombreuses victimes (multiple casualty incidents -MCI). Des analyses de ce type d'incidents survenus récemment indiquent que la préparation des centres de traumatologie a souvent été limitée. Nous avons cherché à évaluer l'état de préparation des centres de traumatologie au Canada et l'importance de leur intégra-tion dans les réponses régionales aux MCI. Méthodes :Nous avons sondé les centres de traumatologie de niveau 1 du Canada (n = 29) afin de caractériser leurs plans actuels d'interventions en cas de catastrophe et de déterminer les aspects de leur préparation qui pourraient être améliorés. Le sondage était adressé au directeur médical de la traumatologie de chaque centre. Des statistiques descriptives ont servi à analyser les réponses.Résultats : Vingt-trois (79 %) centres de traumatologie de 5 provinces ont répondu. La plupart (83 %) ont signalé l'existence d'un comité chargé de la préparation aux catastrophes, mais la moitié seulement des directeurs médicaux de la traumatologie étaient membres de tels comités. Presque la moitié (43 %) des établissements n'avaient pas fait d'exercice de simulation d'une catastrophe depuis 2 ans. Seulement 70 % des...

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“…28 The value of simulation has been demonstrated in many different scenarios, such as trauma and the intensive care unit. 29 Given the current variety of simulation platforms and the expanding education needs of future RTs, simulation in didactic and clinical scenarios will be invaluable.…”

Section: Addressing Workforce Education Issuesmentioning

confidence: 99%

Transitioning the Respiratory Therapy Workforce for 2015 and Beyond

et al. 2011

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SummaryThe American Association for Respiratory Care established a task force in late 2007 to identify likely new roles and responsibilities of respiratory therapists (RTs) in the year 2015 and beyond. A series of 3 conferences was held between 2008 and 2010. The first task force conference affirmed that the healthcare system is in the process of dramatic change, driven by the need to improve health while decreasing costs and improving quality. This will be facilitated by application of evidence-based care, prevention and management of disease, and closely integrated interdisciplinary care teams. The second task force conference identified specific competencies needed to assure safe and effective execution of RT roles and responsibilities in the future. The third task force conference was charged with creating plans to change the professional education process so that RTs are able to achieve the needed skills, attitudes, and competencies identified in the previous conferences. Transition plans were developed by participants after review and discussion of the outcomes of the first two conferences and 1,011 survey responses from RT department managers and RT education program directors. This is a report of the recommendations of the third task force conference held July 12-14, 2010, on Marco Island, Florida. The participants, who represented groups concerned with RT education, licensure, and practice, proposed, discussed, and accepted that to be successful in the future a baccalaureate degree must be the minimum entry level for respiratory care practice. Also accepted was the recommendation that the Certified Respiratory RESPIRATORY CARE • MAY 2011 VOL 56 NO 5 681Therapist examination be retired, and instead, passing of the Registered Respiratory Therapist examination will be required for beginning clinical practice. A date of 2020 for achieving these changes was proposed, debated, and accepted. Recommendations were approved requesting resources be provided to help RT education programs, existing RT workforce, and state societies work through the issues raised by these changes.

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Simulation Training for a Mass Casualty Incident: Two-Year Experience at the Army Trauma Training Center

Cited by 47 publications

References 13 publications

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma

Transitioning the Respiratory Therapy Workforce for 2015 and Beyond

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