Prehospital Damage Control Resuscitation

Scott, Timothy; Stuke, Lance

doi:10.1007/978-3-319-72607-6_6

Damage Control in Trauma Care 2018

DOI: 10.1007/978-3-319-72607-6_6

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Prehospital Damage Control Resuscitation

Timothy Scott

Lance Stuke²

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2023

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Cited by 1 publication

(2 citation statements)

References 32 publications

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“…Various organizations adopted different prehospital trauma care guidelines, such as Prehospital Trauma Life Support (PHTLS), Advanced Trauma Life Support (ATLS), and Trauma and Combat Casualty Care (TCCC). 2,4,5 The Israel Defense Force (IDF) uses Military Trauma Life Support (MTLS) which was developed based on the Trauma and Combat Medicine branch clinical practice guidelines (CPGs). 6 The efficiency of trauma care teams can be affected by several factors, including the composition of the team and the training or experience of its members.…”

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“…In addition, the training of these teams can vary depending on the country or region. Various organizations adopted different prehospital trauma care guidelines, such as Prehospital Trauma Life Support (PHTLS), Advanced Trauma Life Support (ATLS), and Trauma and Combat Casualty Care (TCCC) 2,4,5 . The Israel Defense Force (IDF) uses Military Trauma Life Support (MTLS) which was developed based on the Trauma and Combat Medicine branch clinical practice guidelines (CPGs) 6 …”

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Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations

Mitchnik

Talmy

Feldman

et al. 2023

J Trauma Acute Care Surg

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BACKGROUND Trauma care teams play a crucial role in determining the outcomes of trauma victims. The composition and training of these teams can vary. Our study seeks to examine the characteristics of successful military Advanced Life Support (ALS) teams and the factors that affect them. METHODS A retrospective study was conducted at the Israel Defense Force (IDF) Military Medical Academy throughout 2021, where prehospital medical teams were observed in trauma care simulations. Teams were led by ALS providers (military physicians or paramedics) trained in IDF Military Trauma Life Support. Demographic and training data were collected. Teams were categorized into high or subpar performance groups based on simulation scores. Specific skills were assessed by trauma instructors using a points system. Scores were compared between the groups and analyzed for correlations with demographic and training data. RESULTS Overall, 63 team simulations were analyzed, with teams led by a military paramedic in 78% of simulations. The mean overall simulation performance was 81% ±6.2, and there were no differences in scores of single or multicasualty simulations. A total 3% of the teams achieved successful results and were more likely to have a paramedic as the ALS provider (p = 0.028). A sensitivity analysis excluding physicians was conducted and showed that high-performance teams had significantly higher skill assessments for primary survey (p = 0.004), injury recognition (p = 0.002), exposure (p = 0.006), adherence to clinical practice guidelines (p = 0.032), and medical device use (p = 0.002). CONCLUSION Our study found that ALS provider is associated with overall simulation performance in prehospital ALS teams, with military paramedics more likely to be successful. These findings have implications for the training and staffing of prehospital ALS teams, suggesting that teams should be composed accordingly and that training should focus on skills affected by the ALS provider type. LEVEL OF EVIDENCE Prognostic and Epidemiological; Level IV.

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confidence: 99%

mentioning

confidence: 99%

Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations

Mitchnik

Talmy

Feldman

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

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Prehospital Damage Control Resuscitation

Cited by 1 publication

References 32 publications

Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations

Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations

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