Video Recording Trauma Resuscitations: An Effective Teaching Technique
作者:
DAVID HOYT,
STEVEN SHACKFORD,
PEGGY FRIDLAND,
ROBERT MACKERSIE,
JOHN HANSBROUGH,
THOMAS WACHTEL,
JOHN FORTUNE,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1988)
卷期:
Volume 28,
issue 4
页码: 435-440
ISSN:0022-5282
年代: 1988
出版商: OVID
数据来源: OVID
摘要:
Since the initial hour after injury is the most crucial time for trauma patients, resuscitation technique is of vital importance. Standardized courses for first-hour management (ATLS) have been widely accepted. A teaching format based upon video recording of every resuscitation has been developed. Tapes are reviewed by the staff and by the individuals involved in a particular resuscitation. In a weekly resuscitation review conference, actual footage is presented to the trauma team members, specific aspects of a resuscitation are critiqued, and supplemental didactic information is presented.Legal problems have been avoided by making the review and conference a part of the quality assurance process. Patient anonymity is preserved by positioning the video camera at the foot of the resuscitation bed. Tapes are erased after each conference.Video recording allows analysis of: 1)prioritiesduring the resuscitation; 2)cognitiveintegration of the workup by the teamleader; 3)physicalintegration of the workup by the teamleader; 4) teammemberadherence to assigned responsibilities, resuscitation time, errors or breaks in technique; and 5) behavior change over time.In 3½ years, more than 2,500 resuscitations have been recorded. Over a 3-month period, average resuscitation time todefinitive caredecreased for age- and injury severity-matched patient groups cared for by one team. Resuscitations have become more efficient and adherence to assigned responsibilities better. Weekly review of resuscitation contributes to improved technique and trauma care.
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