The Importance of the Command-Physician in Trauma Resuscitation

Hoff, William S.; Reilly, Patrick; Rotondo, Michael F.; Jc, DiGiacomo; Schwab, C. William

doi:10.1097/00005373-199711000-00007

Cited by 103 publications

(67 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Disagreements over procedures, confusion over team leadership, organizational chaos or demeaning comments represent poor team dynamics and can cause a team to lose focus. Team leaders often do not (or will not) follow basic protocols [47][48][49]. Medical errors tend to occur more frequently in stochastic environments or when team dynamics and communication are flawed [18,[50][51][52][53].…”

Section: Team Focus and Errorsmentioning

confidence: 99%

See 1 more Smart Citation

Resuscitation Team Organization for Emergency Departments: A Conceptual Review and Discussion

Mellick¹,

Adams²

2009

TOEMJ

View full text Add to dashboard Cite

Abstract:In this article we discuss code or resuscitation team organization. The goals of this article are to define the questions surrounding code team organization and structure, discuss how organization can make a difference, review resuscitation systems and processes, and discuss aspects of team structure and performance. Issues of team performance include teamwork, leadership, communication and safety.

show abstract

Section: Team Focus and Errorsmentioning

confidence: 99%

“…With the code team, processes and procedures that are organized, disciplined and controlled are generally less stressful to the participants [60,[64][65][66]. The resuscitation team leader sets the tone for the team and prevents unnecessary stress levels [49].…”

Section: Team Focus and Errorsmentioning

confidence: 99%

Resuscitation Team Organization for Emergency Departments: A Conceptual Review and Discussion

Mellick¹,

Adams²

2009

TOEMJ

View full text Add to dashboard Cite

show abstract

“…Only recently has medicine started to recognize this fact, and started teaching physicians to be effective team leaders (Howard et al 1992;Reznek et al 2003;Marsch et al 2004). It has been shown that teams who function with an effective team leader adhere more closely to established protocols, sustain fewer medical errors, and as a result, have a more favourable outcome for their patients, both simulated and real (Hoff et al 1997;Cooper & Wakelam 1999;Morey et al 2002;Devita et al 2004Devita et al , 2005Marsch et al 2004).…”

Section: Introductionmentioning

confidence: 99%

Development of a leadership skills workshop in paediatric advanced resuscitation

2007

View full text Add to dashboard Cite

Background: Paediatric residency programs rarely prepare trainees to assume resuscitation team leadership roles despite the recognized need for these skills by specialty accreditation organizations. We conducted a needs-assessment survey of all residents in the McGill Pediatric Residency Program, which demonstrated that most residents had minimal or no experience at leading resuscitation events and felt unprepared to assume this role in the future. Aims: We developed an educational intervention (workshop) and evaluated immediate and long term learning outcomes in order to determine whether residents could acquire and retain team leadership skills in pediatric advanced resuscitation. Methods: Fifteen paediatric residents participated in a workshop that we developed to fulfill the learning needs highlighted with the needs assessment, as well as the Objectives of Training in Pediatrics from the Royal College of Physicians and Surgeons of Canada. It consisted of a plenary session followed by 2 simulated resuscitation scenarios. Team performance was evaluated by checklist. Residents were evaluated again 6 months later without prior interactive lecture. Learning was also assessed by self-reported retrospective pre/post questionnaire. Conclusions: Residents acquired resuscitation team leadership skills following an educational intervention as shown by both observational checklist scores and self-reported survey. The six-month follow-up evaluation demonstrated skill retention beyond the initial intervention. A control group suggested that these results were due to completion of the first workshop.

show abstract

“…22 The most common causes of spinal cord injuries are motor vehicle crashes (48%), falls (21%), assaults (15%) and sports-related accidents (14%). 4 It is imperative that the practitioner be aware of the possibility of spinal cord injury in the multiply injured patient. Of all trauma patients that die within the first 30 minutes after injury, 20-25% have a cervical SCI.…”

Section: Concurrent Spinal Injurymentioning

confidence: 99%