Potential Role of the Advanced Surgical Skills for Exposure in Trauma (ASSET) Course in Canada

Ali, Jameel; Sorvari, Anne; Haskin, Danielle; Luchette, Fred A.; Bowyer, Mark W.

doi:10.1097/ta.0b013e3182318053

Cited by 14 publications

(5 citation statements)

References 6 publications

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“…Participants in the ASSET course benefited most significantly from performing exposures in anatomic areas where they have limited or no operative experience, including upper extremity and thorax. Ali et al 11 found similar results among practicing trauma surgeons. With the success of nonoperative management for acute injuries and the restriction of resident work hours, training programs are challenged to define a standardized curriculum addressing operative decision making and technical skills.…”

Section: Discussionsupporting

confidence: 57%

Advanced surgical skills for exposure in trauma

Kuhls

Risucci

Bowyer

et al. 2013

Journal of Trauma and Acute Care Surgery

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Section: Discussionsupporting

confidence: 57%

Advanced surgical skills for exposure in trauma

Kuhls

Risucci

Bowyer

et al. 2013

Journal of Trauma and Acute Care Surgery

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“…This study demonstrates similar educational benefit for residents, despite differences in trauma exposure, reinforcing the idea that benefit from a trauma simulation course, such as ATOM, is not limited to one group of learners. Jacobs et al 8 demonstrated this in their initial work and advanced surgical skills for exposure in trauma 17,18 has been shown beneficial to different level residents. In conclusion, this study lends support to the idea that ATOM training should be available for all residents regardless of their clinical trauma exposure.…”

Section: Discussionmentioning

confidence: 98%

Does Resident Trauma Exposure Affect Advanced Trauma Operative Management Course Experience?

Kaban

Stone

Dayama

et al. 2016

The American Surgeon™

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The Advanced Trauma Operative Management (ATOM) course is a simulation course adopted by the American College of Surgeons to teach operative management of primarily penetrating, traumatic injuries. Although it is clear that overall operative trauma exposure is decreasing, the educational benefit of ATOM for residents with different amounts of trauma exposure remains unclear. Our aim was to determine whether residents from trauma centers experienced less benefit from the ATOM course when compared with residents from nontrauma centers. We compared two groups of residents who take ATOM through our institutional course, those from trauma centers and those from nontrauma centers. ATOM pre- and postcourse evaluations of knowledge and self-efficacy were collected from October 2007 to June 2013. Overall residents from three institutions, two trauma centers (100 residents) and one nontrauma center (34 residents), were included in the study. All resident groups had statistically significant improvement in knowledge and self-efficacy after taking the ATOM course ( P < 0.0001). There was no statistically significant difference in improvement relative to each of the groups in the ATOM categories of knowledge and self-efficacy. Our data show that residents with different levels of trauma exposure had similar pre- and postcourse scores as well as improvement in the ATOM evaluations. As operative trauma continues to decrease the ATOM course shows benefit for all residents regardless of the depth of their clinical trauma exposure in surgical residency.

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“…The repair of penetrating cardiac injuries is an example of those critical situations. 15,16 To compensate for this deficiency in surgical training, critical lifesaving procedures are frequently taught in courses involving human cadavers and large live animals.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhage Control in Penetrating Cardiac Injury: A New Device Put to the Test in the Advanced Trauma Operative Management (ATOM) Course

Rezende-Neto¹,

Beckett²,

Ziroldo³

et al. 2015

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Penetrating cardiac injuries cause death through exsanguination, cardiac tamponade, and fulminant cardiac failure. 1 Ballistic trauma and stab wounds are the most common mechanisms involved in penetrating wounds to the heart. Studies of unselected series of patients with penetrating cardiac injuries show a death on the arrival rate of 80-90%; 18% were considered salvageable cases if the right treatments were available. 2,3 Consequently, expeditious management of these injuries and immediate hemorrhage control are critical to improve the survival rate. The ideal way to control the hemorrhage is to digitally occlude the injury followed by suture. However, a procedure like this is difficult to perform in the emergency department. Additionally, the lack of physician experience in the treatment of these injuries increases the rate of poor outcome. The first heart suture was successfully attempted in 1882 by Block in a rabbit model. 4 The first attempt in a human was in 1896 by Cappelen. 5 He had to repair a left ventricular laceration and ligate the coronary artery; the patient died in the postoperative period. Rehn of Frankfurt is credited with the first successful repair of a penetrating cardiac injury in 1896, operating on a wound in the right ventricle. 6 Several reports followed that successful repair. Dr Rehn published additional 124 events with 60% successful outcomes. 7 During World War II, Dr Harken from the

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Potential Role of the Advanced Surgical Skills for Exposure in Trauma (ASSET) Course in Canada

Cited by 14 publications

References 6 publications

Advanced surgical skills for exposure in trauma

Advanced surgical skills for exposure in trauma

Does Resident Trauma Exposure Affect Advanced Trauma Operative Management Course Experience?

Hemorrhage Control in Penetrating Cardiac Injury: A New Device Put to the Test in the Advanced Trauma Operative Management (ATOM) Course

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