Establishing a collaborative trauma training program with a community trauma center for military nurses

McNamara, Karen J.; Schulman, Christine S.; Jepsen, Dennis L.; Cuffley, Janet E.

doi:10.1067/mtn.2001.115642

Cited by 3 publications

(8 citation statements)

References 3 publications

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“…Eighteen articles described MCP where forward deployed caregivers were provided skills sustainment opportunities of previously learned skills (e.g., original Graduate Medical Education (GME) residency training or from previous deployments). These skills sustainment MCP involved multiple provider types, including surgeons (general, trauma/critical care, orthopedic, vascular, and neurosurgery), anesthesia providers (nurse anesthetists or anesthesiologist), nursing (emergency/trauma, critical care, operating room), surgical technicians, paramedics, and medics 13–29 . Twenty-three described just-in-time training MCP where predeployment multidisciplinary trauma team training at civilian Level I academic centers occurred.…”

Section: Resultsmentioning

confidence: 99%

“…The five studies describing skills sustainment partnerships varied in measures of success, from cost saving outcomes to case number comparisons, all of which showed improvement 16,18,26,50,51 . Of the four studies describing integrated MCP-related outcomes, 2 were in the United States, 1 was in Israel and 1 was in the United Kingdom.…”

Section: Resultsmentioning

confidence: 99%

“…37 The five studies describing skills sustainment partnerships varied in measures of success, from cost saving outcomes to case number comparisons, all of which showed improvement. 16,18,26,50,51 Of the four studies describing integrated MCP-related outcomes, 2 were in the United States, 1 was in Israel and 1 was in the United Kingdom. The militaries of the United Kingdom and Israel do not utilize the MTF model, and all military providers are embedded in civilian hospitals that take care of both military and civilian patients.…”

Section: Mcp Outcomesmentioning

confidence: 99%

“…These skills sustainment MCP involved multiple provider types, including surgeons (general, trauma/critical care, orthopedic, vascular, and neurosurgery), anesthesia providers (nurse anesthetists or anesthesiologist), nursing (emergency/trauma, critical care, operating room), surgical technicians, paramedics, and medics. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Twenty-three described justin-time training MCP where predeployment multidisciplinary trauma team training at civilian Level I academic centers occurred. These types of MCP included a combination of didactics, highfidelity simulation using models and/or cadavers and clinical trauma experiences.…”

Section: Classification Of Identified Mcpsmentioning

confidence: 99%

See 3 more Smart Citations

Integrated military and civilian partnerships are necessary for effective trauma-related training and skills sustainment during the inter-war period

Lee

Hall

Carr

et al. 2021

J Trauma Acute Care Surg

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Mcp Outcomesmentioning

confidence: 99%

Section: Classification Of Identified Mcpsmentioning

confidence: 99%

See 2 more Smart Citations

Integrated military and civilian partnerships are necessary for effective trauma-related training and skills sustainment during the inter-war period

Lee

Hall

Carr

et al. 2021

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…Skills Sustainment and Academic Integration were not exclusive to physicians and included allied healthcare providers such as first responders/medics and nurses 12 , 13 , 28 , 32 , 34 , 37 , 40 , 41 , 44 , 51 , 52 , 58 , 60 , 66 , 70 , 72 , 75 – 78 , 82 . Studies that involved Skills Sustainment and/or training largely focused on military personnel 12 , 13 , 20 , 27 , 28 , 32 , 34 , 37 , 40 , 41 , 44 , 49 – 53 , 58 , 60 , 62 , 66 , 68 , 70 – 72 , 74 – 78 , 82 . The remainder involved joint military-civilian training for mass casualty events and disaster response 26 , 36 , 47 , 56 , 64 , 83 , 86 .…”

Section: Resultsmentioning

confidence: 99%

Global assessment of military and civilian trauma systems integration: a scoping review

Baird,

Madha,

Arnaouti

et al. 2024

International Journal of Surgery

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Background: The global burden of trauma disproportionately affects low-income countries and middle-income countries (LMIC), with variability in trauma systems between countries. Military and civilian healthcare systems have a shared interest in building trauma capacity for use during peace and war. However, in LMICs it is largely unknown if and how these entities work together. Understanding the successful integration of these systems can inform partnerships that can strengthen trauma care. This scoping review aims to identify examples of military-civilian trauma systems integration and describe the methods, domains, and indicators associated with integration including barriers and facilitators. Methods: A scoping review of all appropriate databases was performed to identify papers with evidence of military and civilian trauma systems integration. After manuscripts were selected for inclusion, relevant data was extracted and coded into methods of integration, domains of integration, and collected information regarding indicators of integration, which were further categorized into facilitators or barriers. Results: Seventy-four studies were included with authors from 18 countries describing experiences in 23 countries. There was a predominance of authorship and experiences from High-Income Countries (91.9 and 75.7%, respectively). Five key domains of integration were identified; Academic Integration was the most common (45.9%). Among indicators, the most common facilitator was administrative support and the lack of this was the most common barrier. The most common method of integration was Collaboration (50%). Conclusion: Current evidence demonstrates the existence of military and civilian trauma systems integration in several countries. High-income country data dominates the literature, and thus a more robust understanding of trauma systems integration, inclusive of all geographic locations and income statuses, is necessary prior to development of a framework to guide integration. Nonetheless, the facilitators identified in this study describe the factors and environment in which integration is feasible and highlight optimal indicators of entry.

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Impact of Rank, Provider Specialty, and Unit Sustainment Training Frequency on Military Critical Care Air Transport Team Readiness

Leib,

Cheney,

Burkhardt

et al. 2024

Military Medicine

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Background The Critical Care Air Transport (CCAT) Advanced Course utilizes fully immersive high-fidelity simulations to assess personnel readiness for deployment. This study aims to determine whether simple well-defined demographic identifiers can be used to predict CCAT students’ performance at CCAT Advanced. Materials and Methods CCAT Advanced student survey data and course status (pass/fail) between March 2006 and April 2020 were analyzed. The data included students’ Air Force Specialty Code (AFSC), military status (active duty and reserve/guard), CCAT deployment experience (yes/no), prior CCAT Advanced training (yes/no), medical specialty, rank, and unit sustainment training frequency (never, frequency less often than monthly, and frequency at least monthly). Following descriptive analysis and comparative tests, multivariable regression was used to identify the predictors of passing the CCAT Advanced course for each provider type. Results A total of 2,576 student surveys were analyzed: 694 (27%) physicians (MDs), 1,051 (40%) registered nurses (RNs), and 842 (33%) respiratory therapists (RTs). The overall passing rates were 92.2%, 90.3%, and 85.4% for the MDs, RNs, and RTs, respectively. The students were composed of 579 (22.5%) reserve/guard personnel, 636 (24.7%) with CCAT deployment experience, and 616 (23.9%) with prior CCAT Advanced training. Regression analysis identified groups with lower odds of passing; these included (1) RNs who promoted from Captain to Major (post-hoc analysis, P = .03), (2) RTs with rank Senior Airman, as compared to Master Sergeants (post-hoc analysis, P = .04), and (3) MDs with a nontraditional AFSC (P = .0004). Predictors of passing included MDs and RNs with CCAT deployment experience, odds ratio 2.97 (P = .02) and 2.65 (P = .002), respectively; and RTs who engaged in unit CCAT sustainment at least monthly (P = .02). The identifiers prior CCAT Advanced training or reserve/guard military status did not confer a passing advantage. Conclusion Our main result is that simple readily available metrics available to unit commanders can identify those members at risk for poor performance at CCAT Advanced readiness training; these include RNs with rank Major or above, RTs with rank Senior Airman, and RTs who engage in unit sustainment training less often than monthly. Finally, MD specialties which are nontraditional for CCAT have significantly lower CCAT Advanced passing rates, reserve/guard students did not outperform active duty students, there was no difference in the performance between different RN specialties, and for MD and RN students’ previous deployment experience was a strong predictor of passing.

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Establishing a collaborative trauma training program with a community trauma center for military nurses

Cited by 3 publications

References 3 publications

Integrated military and civilian partnerships are necessary for effective trauma-related training and skills sustainment during the inter-war period

Integrated military and civilian partnerships are necessary for effective trauma-related training and skills sustainment during the inter-war period

Global assessment of military and civilian trauma systems integration: a scoping review

Impact of Rank, Provider Specialty, and Unit Sustainment Training Frequency on Military Critical Care Air Transport Team Readiness

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