The European Trauma Course

Thies, Karl‐Christian; Deakin, Charles D.; Voiglio, Eric J.; Rommens, Pol Maria; Sabbé, Marc; Lott, Carsten; Robinson, D.; Arafat, Raed; Brattebø, Guttorm; Lippert, Freddy

doi:10.1097/eja.0000000000000012

Cited by 7 publications

(3 citation statements)

References 2 publications

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“…CLC is an essential part of CRM, and has been introduced to ensure safe and secure communication within the team. These concepts are now beginning to be included in courses such as ATLS, 29 ECT 30 31 and TeamSTEPPS. 51 If communication is to improve, this must be both deliberately trained and deliberately practiced.…”

Section: Discussionmentioning

confidence: 99%

“…Apart from regular trauma team training, attendance at the structured trauma course is regarded as a practical and theoretical foundation for competent and skilled trauma teams. 6 The standardised and systematic principles described in ATLS 29 and also practiced in the European Trauma Course (ECT) 30 31 have been associated with improved trauma care. 32 33 It is essential to reduce both the time taken for complete assessment of the patient according to ATLS and the time taken to complete the diagnostic investigations.…”

Section: Introductionmentioning

confidence: 99%

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Trauma teams and time to early management during in situ trauma team training

et al. 2016

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ObjectivesTo investigate the association between the time taken to make a decision to go to surgery and gender, ethnicity, years in profession, experience of trauma team training, experience of structured trauma courses and trauma in the trauma team, as well as use of closed-loop communication and leadership styles during trauma team training.DesignIn situ trauma team training. The patient simulator was preprogrammed to represent a severely injured patient (injury severity score: 25) suffering from hypovolemia due to external trauma.SettingAn emergency room in an urban Scandinavian level one trauma centre.ParticipantsA total of 96 participants were divided into 16 trauma teams. Each team consisted of six team members: one surgeon/emergency physician (designated team leader), one anaesthesiologist, one registered nurse anaesthetist, one registered nurse from the emergency department, one enrolled nurse from the emergency department and one enrolled nurse from the operating theatre.Primary outcomeHRs with CIs (95% CI) for the time taken to make a decision to go to surgery was computed from a Cox proportional hazards model.ResultsThree variables remained significant in the final model. Closed-loop communication initiated by the team leader increased the chance of a decision to go to surgery (HR: 3.88; CI 1.02 to 14.69). Only 8 of the 16 teams made the decision to go to surgery within the timeframe of the trauma team training. Conversely, call-outs and closed-loop communication initiated by the team members significantly decreased the chance of a decision to go to surgery, (HR: 0.82; CI 0.71 to 0.96, and HR: 0.23; CI 0.08 to 0.71, respectively).ConclusionsClosed-loop communication initiated by the leader appears to be beneficial for teamwork. In contrast, a high number of call-outs and closed-loop communication initiated by team members might lead to a communication overload.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trauma teams and time to early management during in situ trauma team training

et al. 2016

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“…évfolyam 1. szám Az 1960-as évek közepétől, számos európai országban a gerincsérültek ellátásában a merev nyakrögzítő gallér és a gerinchordágy (board) alkalmazása az elfogadott. Ezt adaptálta számos hospitális és preshopitális képzés is a különböző kurzusok kapcsán, például az Advanced Trauma Life Support (ATLS), a Prehospital Trauma Life Support (PHTLS) [3,4], az International Trauma Life Support (ITLS) [5] és az European Trauma Course (ETC) [6]. Hazánkban általában a hospitális trauma ellátás az ATLS és ETC irányelvei alapján történik, míg a prehospitális ellátás az ITLS alapján.…”

Section: Bevezetésunclassified

gerincsérültek rögzítése-merre tovább

Bánfai-Csonka

Bánfai

2021

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traumás gerincvelő sérülések előfordulása viszonylag alacsony, azonban nem elhanyagolható kórkép, hiszen visszafordíthatatlan következményekkel járhat, ha nem ismerjük fel időben. Már az 1960-as évektől kezdve számos országban a gerincsérültek ellátásának protokollja tartalmazza a merev nyakrögzítő gallér és a gerinchordágy (board) használatát, azonban ezen eszközök alkalmazásának hatékonysága már többször felmerült kérdésként, azonban magas evidenciával bíró tanulmányok hiányában mégsem változtattak érdemben az ellátási protokollokon. Jelen közleményünk célja, hogy felhívja a figyelmet ezen eszközök használatának esetleges hátrányaira, veszélyeire, mindezt egy dán szisztematikus összefoglaló közlemény alapján. Ezen szakirodalmi áttekintés alapján a „Danish National Board of Health” új ajánlást fogalmazott meg, mely nem a baleseti mechanizmus alapján dönt a gerinc rögzítéséről és annak módjáról, hanem a klinikai/fizikális vizsgálatok eredményei alapján. Hazánkban is fontos lenne ezen irányelvek átgondolása és egyesítése mind prehospitális, mind pedig hospitális szempontból.

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Anästhesiologisches Vorgehen und invasive Gefäßzugänge bei der klinischen Erstversorgung von schwer verletzten Patienten in Deutschland

et al. 2017

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In Germany, medical indication and schedule of invasive vascular catheterisation of severely injured patients in the trauma room is rarely regulated by SOPs and often performed at the discretion of the attending trauma team. Sonographic assistance during vascular puncture and electrocardiography for CVC tip detection is not as common as in non-emergency anaesthesia. Further studies are required to explore the real necessity and safety of invasive vascular catheterisation in multiple trauma patients in order to improve trauma care.

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The European Trauma Course

Cited by 7 publications

References 2 publications

Trauma teams and time to early management during in situ trauma team training

Trauma teams and time to early management during in situ trauma team training

gerincsérültek rögzítése-merre tovább

Anästhesiologisches Vorgehen und invasive Gefäßzugänge bei der klinischen Erstversorgung von schwer verletzten Patienten in Deutschland

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