Does ATLS trauma training fit into Western countries: evaluation of the first 8 years of ATLS in Germany

Muenzberg, Matthias; Paffrath, Thomas; Matthes, G.; Mahlke, L.; Swartman, Benedict; Hoffman, Michael K.; Lefering, Rolf; Wölfl, Christoph

doi:10.1007/s00068-013-0316-0

Cited by 15 publications

(13 citation statements)

References 24 publications

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“…T1 is significantly higher evaluated as t0 and t2, possibly because it was noticed that in post-test the questions can be solved with the knowledge of the manual. Münzberg et al showed that the participants of ATLS courses had best evaluated the skills and scenarios [ 20 ]. Most German participants in medical courses prefer practical trainings to theoretical knowledge.…”

Section: Discussionmentioning

confidence: 99%

Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial

Häske

Beckers

Hofmann

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundPrehospital trauma care is stressful and requires multi-professional teamwork. A decrease in the number of accident victims ultimately affects the routine and skills and underlines the importance of effective training. Standardized courses, like PHTLS, are established for health care professionals to improve the prehospital care of trauma patients. The aim of the study was to investigate the subjective safety in prehospital trauma care and learning progress by paramedics in a longitudinal analysis.MethodsThis was a prospective intervention trial and part of the mixed-method longitudinal EPPTC-trial, evaluating subjective and objective changes among participants and real patient care as a result of PHTLS courses. Participants were evaluated with pre/post questionnaires as well as one year after the course.ResultsWe included 236 datasets. In the pre/post comparison, an increased performance could be observed in nearly all cases. The result shows that the expectations of the participants of the course were fully met even after one year (p = 0.002). The subjective safety in trauma care is significantly better even one year after the course (p < 0.001). Regression analysis showed that (ABCDE)-structure is decisive (p = 0.036) as well as safety in rare and common skills (both p < 0.001). Most skills are also rated better after one year. Knowledge and specific safety are assessed as worse after one year.ConclusionThe courses meet the expectations of the participants and increase the subjective safety in the prehospital care of trauma patients. ABCDE-structure and safety in skills are crucial. In the short term, both safety in skills and knowledge can be increased, but the courses do not have the power to maintain knowledge and specific subjective safety issues over a year.Trial registrationGerman Clinical Trials Register, ID DRKS00004713, registered 14. February 2014Electronic supplementary materialThe online version of this article (doi:10.1186/s13049-017-0426-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial

Häske

Beckers

Hofmann

et al. 2017

Scand J Trauma Resusc Emerg Med

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“…Bei letzterer handelt es sich um ein Fallbeispiel, welches durch jeden Teilnehmer in der Teamleiterrolle zu absolvieren ist. Neben den zu erlernenden Fertigkeiten und Abläufen wird in den Kursen ein großer Wert auf Teamarbeit und Kommunikation gelegt [12,13,19].…”

Section: Prehospital Trauma Life Supportunclassified

“…Das von den Teilnehmern am besten bewertete Element des Kurses stellen die Fallszenarien mit entsprechend trainierten Moulage-Patienten dar. Hier wird den Teilnehmern das Anwenden des ATLS-Konzepts realistisch nähergebracht [3,12,13].…”

Section: Advanced Trauma Life Supportunclassified

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Fortbildungsstrategien zur Optimierung der Schwerverletztenversorgung

Münzberg

Gliwitzky²,

Kulla

et al. 2014

Notfall Rettungsmed

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“…Probable total of approximately 2 million physicians are trained in the program worldwide [11]. The global ATLS program is a condition for certification for trauma centers in Germany [12].…”

Section: Introductionmentioning

confidence: 99%

The effect of paramedic training on pre-hospital trauma care (EPPTC-study): a study protocol for a prospective semi-qualitative observational trial

et al. 2014

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BackgroundAccidents are the leading cause of death in adults prior to middle age. The care of severely injured patients is an interdisciplinary challenge. Limited evidence is available concerning pre-hospital trauma care training programs and the advantage of such programs for trauma patients. The effect on trauma care procedures or on the safety of emergency crews on the scene is limited; however, there is a high level of experience and expert opinion.MethodsI – Video-recorded case studies are the basis of an assessment tool and checklist being developed to verify the results of programs to train participants in the care of seriously injured patients, also known as “objective structured clinical examination” (OSCE). The timing, completeness and quality of the individual measures are assessed using appropriate scales. The evaluation of team communication and interaction will be analyzed with qualitative methods and quantified and verified by existing instruments (e.g. the Clinical Team Scale). The developed assessment tool is validated by several experts in the fields of trauma care, trauma research and medical education. II a) In a German emergency medical service, the subjective assessment of paramedics of their pre-hospital care of trauma patients is evaluated at three time points, namely before, immediately after and one year after training. b) The effect of a standardized course concept on the quality of documentation in actual field operations is determined based on three items relevant to patient safety before and after the course. c) The assessment tool will be used to assess the effect of a standardized course concept on procedures and team communication in pre-hospital trauma care using scenario-based case studies.DiscussionThis study explores the effect of training on paramedics. After successful study completion, further multicenter studies are conceivable, which would evaluate emergency-physician staffed teams. The influence on the patients and prehospital measures should be assessed based on a retrospective analysis of the emergency room data.Trials registrationGerman Clinical Trials Register, ID DRKS00004713.

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Does ATLS trauma training fit into Western countries: evaluation of the first 8 years of ATLS in Germany

Cited by 15 publications

References 24 publications

Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial

Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial

Fortbildungsstrategien zur Optimierung der Schwerverletztenversorgung

The effect of paramedic training on pre-hospital trauma care (EPPTC-study): a study protocol for a prospective semi-qualitative observational trial

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