Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study

Vytautas Aukstakalnis; Justinas Stucinskas; Paulius Dobozinskas; Linas Darginavicius; Kestutis Stasaitis; Dinas Vaitkaitis

doi:10.1007/s00068-024-02473-3

Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study

Eur J Trauma Emerg Surg. 2024 Feb 23. doi: 10.1007/s00068-024-02473-3. Online ahead of print.

Authors

Vytautas Aukstakalnis¹, Justinas Stucinskas², Paulius Dobozinskas³, Linas Darginavicius³, Kestutis Stasaitis⁴, Dinas Vaitkaitis³

Affiliations

¹ Department of Emergency Medicine, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania. vytautas.aukstakalnis@lsmuni.lt.
² Department of Orthopaedics and Traumatology, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania.
³ Department of Disaster Medicine, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania.
⁴ Department of Emergency Medicine, Lithuanian University of Health Sciences, Eiveniu g. 2, Kaunas, Lithuania.

PMID: 38393363
DOI: 10.1007/s00068-024-02473-3

Abstract

Purpose: To determine the impact of structured debriefings (SD) with audio/video review of trauma patients' resuscitation events on trauma team (TT) technical and non-technical skills.

Methods: Single-center prospective observational cohort study. The study included all emergency department patients aged 18 years or older who received resuscitation from the TT. Virtual meeting was held with the TT using SD to review one trauma patient resuscitation video. Technical skills improvement was based on adherence to the ATLS protocol and non-technical skills based on T-NOTECHS scale.

Results: There was statistically significant improvement in adherence to the ATLS protocol: 73% [55-82%] vs 91% [82-100%] (p < 0.001); and improvement in T-NOTECHS scale: 12 [10-14] vs 16 [14-19] points (p < 0.001).

Conclusion: In this study, we found that structured debriefings with review of patients' resuscitation video recordings can have a significant positive impact on trauma team performance in the emergency department in both technical and non-technical skills.

Keywords: Debriefing; Medical education; Quality improvement; Trauma management; Trauma team.