Kurzfassung

Introduction: Trauma is the leading cause of death below the age of 40 in Europe. Emergency department management of trauma patients is one of the most complex issues in emergency medicine. Successful treatment of patients is very much related to a perfectly structured team and excellent cooperation between all the medical specialties involved. Teaching and training are the most important factors to understand the processes and their organisation, which in turn is indispensable to enable each...Introduction: Trauma is the leading cause of death below the age of 40 in Europe. Emergency department management of trauma patients is one of the most complex issues in emergency medicine. Successful treatment of patients is very much related to a perfectly structured team and excellent cooperation between all the medical specialties involved. Teaching and training are the most important factors to understand the processes and their organisation, which in turn is indispensable to enable each team member to fill in his role within the trauma team. The European Section of the WHO recently pointed out that high-quality trauma care may decrease the mortality rate of injury by 30%. Over the past five years the European Trauma Course (ETC) has been developed. It provides an internationally recognised and certified life support course for the initial care of the severely injured patient, reflecting common European practice in trauma management. The ETC integrates only basic simulation features, as high-fidelity simulation devices have not been available for its development In the meantime ethical concerns, reduced training times and educational considerations have caused a move towards advanced medical simulation teaching. Advanced simulation will improve the ETC as it allows more realistic trauma scenarios and a focus on the Human Factors training of Crew/Team Resource Management. Trainings enable the candidates not only to expand their medical skills and knowledge but also to improve their soft skills as team leaders or team members. Especially in fields, where complex decisions have to be made under time pressure, such as in management of major trauma, the use of advanced simulation is an important complementary approach to existing teaching and training models. On behalf of this we have decided to design a new training course together with our European partners. Project: The goal of our project is to establish a uniform European trauma training package using advanced simulation. We will set up a 2.5 days trauma training course using high-fidelity simulators. Different types of injuries can be simulated using manikins; physiological changes will be displayed in a real time manner using the equipment the trauma teams in training are used to. Structured debriefing and assessment will be performed using recording devices. The original ETC scenarios will be adapted and translated. The course will be implemented during a period of 4 pilot courses. This will enable us to evaluate the feasibility of the concept and undertake necessary adaptations. During the course, educators will analyse the impact of the simulator use on candidates and instructors. To quantify the retention of skills, refresher courses will be run 6-12 months following the provider courses. After each course an analysis will investigate the feasibility of the concept as well as candidates and instructors satisfaction. Following a cost-benefit ratio analysis, a concept for sustainable ETC-Simulation courses will be developed. Using that concept, the course will be disseminated all across Europe, individualised to the regional medical and structural specifities. Impact The simulation based ETC is aimed at all medical professionals who are involved in trauma care. The major goal of the project is to improve education for all medical professionals involved in treatment of trauma patients. This project will increase the number of trained medical professionals and will in turn reduce the current European lack of trauma care expertise in terms of quality and quantity. First line beneficiary parties will be the major trauma centres all over Europe that will be able to employ qualified staff – in consequence leading to improved care for trauma patients as shown by the WHO. Long term results will be measured by regional and European databases like EUROTARN.» weiterlesen» einklappen