What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis

Aukštakalnis, Vytautas; Dambrauskas, Žilvinas; Stašaitis, Kęstutis; Darginavičius, Linas; Dobožinskas, Paulius; Jasinskas, Nedas; Vaitkaitis, Dinas

doi:10.1097/mej.0000000000000627

Cited by 18 publications

(22 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies have reported a reduction in patient age during lockdown as well as an 8%−9.1% increase in male patients. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20 ] In the present study, these changes were not statistically significant, supporting the published data from other studies. [ 6 10 11 18 21 ] Another important observation during the COVID-19 pandemic was a significantly prolonged time for patients to be transferred to the hospital.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

Aukštakalnis

Blaziene

Cėpla

et al. 2022

International Journal of Critical Illness and Injury Science

Self Cite

View full text Add to dashboard Cite

Background: As a result of the coronavirus disease 2019 (COVID-19) pandemic and national quarantine, different levels of social and movement restrictions, and stay-at-home requests, trauma trends have changed. The aim of the present study was to determine the impact of lockdown on patients treated by the trauma team (TT) at a single major Lithuanian trauma center during the COVID-19 pandemic. Methods: This is a retrospective, descriptive study of adult (≥18 years old) trauma patients (for whom the TT was activated). Consequently, we analyzed the national lockdown periods from 16 March to 15 May 2020 and from 16 December 2020 to 28 February 2021, compared with the corresponding period of the previous year. Results: There was a 10% reduction in TT activations during the national lockdown period. No significant differences were noted in patient demographics. In the COVID-19 cohort, patients had higher Injury Severity Score (14 [IQR 6−21] vs. 9 [IQR 3−18], P = 0.025) and longer time to computed tomography scan (33 [IQR 25−43] vs. 23 [IQR 20−31] min, P < 0.001). Moreover, in the COVID-19 cohort, three times more patients were transferred from the emergency department (ED) straight to the operating room ( n = 12 [19%] vs. n = 4 [5.7%], P = 0.018, Cramer's V = 0.21). Conclusion: Patients were more severely injured, and more patients required emergent surgery during the lockdown. In addition, it took longer to transfer patients to the ED and to perform a computed tomography scan.

show abstract

Section: Discussionsupporting

confidence: 87%

“…The characteristics of the TT have been described in our previous study. [ 14 ] We have analyzed all TT activations. TT activations for severely injured patients (Injury Severity Score [ISS] >15) were analyzed in a subgroup analysis.…”

Section: Methodsmentioning

confidence: 99%

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

Aukštakalnis

Blaziene

Cėpla

et al. 2022

International Journal of Critical Illness and Injury Science

Self Cite

View full text Add to dashboard Cite

show abstract

“…These insights give the opportunity to evaluate and discuss the prevailing guidelines and adapt them where needed ( 8 , 11 ). Although more studies are needed to measure the effect of reevaluating guidelines, assessment of recordings of clinical care can emphasize the continuous need for reinforcement of adherence ( 7 , 10 , 12 ).…”

Section: Using Recordings For Assessing Quality Of Carementioning

confidence: 99%

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

et al. 2022

View full text Add to dashboard Cite

As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams’ management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.

show abstract

“…Four studies analysed compliance with protocols such as advanced trauma life support (ATLS), and full personal protective equipment (PPE) usage [10,[17][18][19]. The remaining five studies analysed overall trauma resuscitation performance to identify errors and assess team performance [5,9,[20][21][22][23].…”

Section: Assessment Of Technical Skillsmentioning

confidence: 99%

“…These studies focussed on optimal team size for trauma resuscitation and found that closed-loop communication was the only factor which led to orders being completed more rapidly [8,25]. Trauma video review allowed for multiple aspects of communication and team dynamics to be assessed, which can be difficult in real time [21,26]. Santora et al [10], showed that resident leadership qualities including pre-briefing, clear and direct orders, and control of resuscitation were significantly improved over their study period with trauma video review.…”

Section: Assessment Of Non-technical Skillsmentioning

confidence: 99%

Contemporary uses of trauma video review: a scoping review

et al. 2021

View full text Add to dashboard Cite

Objectives Trauma resuscitations are sporadic, high-acuity situations and conducting observation in the trauma bay for the purpose of quality improvement is challenging. We aim to review contemporary uses of trauma video review. Methods Medline and Embase were searched from 1980 to May 2020 for studies involving trauma video review. English studies of adult and paediatric populations were included for study and analysed for uses of trauma video review, outcomes measured and any resulting quality improvement (QI) initiatives. Results A total of 463 publications were identified with 21 studies meeting eligibility for final inclusion. A majority of studies (11) observed technical skills with analysis of critical procedures, including tracheal intubation and thoracotomy. The remaining studies observed team dynamics and communication. Overall, eight studies resulted in new policies being put in place for trauma resuscitations and six studies utilized trauma video review as an educational tool. Conclusions This study highlights common uses of trauma video review. The greatest benefit for this new technology is in quality improvement and education. The majority of studies focussed on critical procedures and QI initiatives, such as checklists, protocols and continued education. We recommend adoption of video review systems for ongoing improvement of team dynamics and overall trauma and emergency resuscitation.

show abstract

What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis

Cited by 18 publications

References 16 publications

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

Impact of the COVID-19 lockdown on trauma team activations in a single major Lithuanian trauma center

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

Contemporary uses of trauma video review: a scoping review

Contact Info

Product

Resources

About