Prehospital Trauma Care: A Simulation Scenario for Rural-Based Healthcare Providers

Abstract

Trauma is a major cause of premature death and disability worldwide, with a disproportionate number of deaths occurring in rural and remote areas. Prehospital care is a key link in the chain of trauma survival and its role may be currently underestimated. Therefore, addressing deficiencies in prehospital trauma care may help to improve outcomes. Several potential solutions have been proposed to address the disparities that exist in rural prehospital trauma care, some of which focus on educational endeavors. Simulation-based medical education (SBME) is one cost-effective strategy to train healthcare providers in high-acuity, lowopportunity (HALO) scenarios, such as those encountered during major trauma. The aim of this technical report is to present a mass casualty simulation scenario that is intended for healthcare providers in rural and remote locations to refine their skills and comfort level with such cases. It emphasizes prehospital trauma management and effective communication skills among healthcare teams, which are two key elements in improving trauma outcomes.

Trauma Em Ambientes Rurais: Avaliação De Pacientes Internados Em Unidade De Terapia Intensiva

“…O trauma é uma das principais causas de morte prematura no mundo, essencialmente em locais rurais e remotos. O acesso limitado do atendimento ao trauma aumenta proporcionalmente à ruralidade (CARTHY et al, 2020), uma vez que os serviços médicos de emergência em geral não atendem esses pacientes no período crucial de sobrevida, consequentemente há um aumento da mortalidade (NEWGARD et al, 2017). A urbanização favorece o tempo de transporte, atendimentos e respostas definitivas mais efetivas em comparação às áreas rurais, dessa forma as disparidades entre o urbano e o rural estão relacionadas à sobrevivência ao trauma.…”