Trauma team size and task performance in adult trauma resuscitations

Filming for auditing of real-life emergency teams: a systematic review

“…A further eight studies were identified by checking the references lists. Among these 165 studies, 50 were eligible according to the inclusion criteria (online supplementary table S1),4 5 8 13 21–66 and five of these evaluated the impact of video review in regards to improvement in patient care (PICOS)8 21 23 41 62 (figure 1).…”

“…There were 6 cohort or case–control studies,8 21–23 27 42 27 cross-sectional studies24 25 28 30 33–40 43 44 46 47 49 51–54 56–59 65 66 and 17 case reports or series4 5 13 26 27 29 31 32 45 48 50 55 60–64 (figure 2). There were no trials or protocols of RCTs.…”

“…We identified five categories of team: cardiac arrest team (n=7),41–47 neonatal resuscitation team (n=18),48–65 trauma team (n=15),4 5 8 13 21–31 paediatric trauma team (n=9)32–40 and obstetric emergency team (n=1) 66. The 50 studies were conducted at 30 different hospitals situated in the USA (n=12), Australia (n=1), Europe (n=11) and Asia (n=5) (figure 2).…”

“…To audit the care provided in the video review, four categories of outcomes were identified: teams’ clinical performance (n=34), teams’ technical performance (n=13), teams’ non-technical performance (n=17) and patient outcome (n=14) (figure 2). Teams’ clinical performance consisted of the overall management of the emergency and was assessed in terms of adherence to protocol or guideline 4 5 8 21–28 30 32–45 47 54 55 57 58 62 63 66. Technical performance was assessed for procedures like intubation or chest compression depth 13 46 48 49 51–53 56 59–61 64 65.…”

“…Technical performance was assessed for procedures like intubation or chest compression depth 13 46 48 49 51–53 56 59–61 64 65. Non-technical performance comprised decision-making, situation awareness, communication, leadership, teamwork or vigilance and was assessed in terms of use of checklist or descriptive analysis 24 25 27 28 30 31 35–37 39 40 43 47 53 57 58 63. Patient outcomes comprised return of spontaneous circulation (ROSC), length of hospital stay or survival and were assessed based on either the video or medical charts (n=14) 4 21 22 26 28 41–43 48 49 51 65…”