Validation of Select Procedures, Consultation, andHandovers in a Simulated En Route Care Environment
Technical Report,01 Jul 2018,30 Jun 2019
Uniformed Services University Bethesda United States
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This multi project study aimed to demonstrate what constitutes expert performance in an en route care environment for the skills cricothyroidotomy, fasciotomy, lateral canthotomy and cantholysis, and REBOA Aims 1-2 what the is learning curve and durability of cricothyroidotomy and fasciotomy skill sets for non-surgical novices EMTs, medical students, nurses to be able to perform at expert levels Aim3 and establish protocol for tele mentoring and handover criteria in en route care scenarios Aim 4-5. Aims 1-3 for this study are in progress. Major findings in this reporting period include establishing the novice learning curve to achieve expert performance criteria for a surgical cricothyroidotomy in an en route care environment. Expert performance was previously defined as 2 consecutive, successful cricothyroidotomies is approximately 40seconds SD5 sec. and meeting at least 9 of 10 criteria on the developed skill checklist which is currently being used as the proposed Trauma Readiness Index TRI in novice.
- Medicine and Medical Research