EMS-TruShoC - A Prospective Trial of Low-Dose, High Frequency, On-Site Training to Improve Trauma Field Care in Austere Settings
[Technical Report, Final Report]
59th MDWCOLORADO UNIV AURORA CO
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Effective training is critical to survival after major trauma . We tested the effectiveness of a simplified bundle of hemorrhagic shock care EMS-TruShoC delivered via a novel educational methodology H.E.E.T. intended to pragmatically improve prehospital trauma morbidity and mortality. We assessed outcomes in three highly relevant areas i clinical at the patient-level ii implementation, and iii educational. The overall design was a Type 2 hybrid implementation-effectiveness study equal focus on clinical and implementation outcomes. We conducted a quasi-experimental trial to introduce a novel intervention EMS-TruShoC which was implemented via a novel educational methodology H.E.E.T.. We enrolled 198 EMS providers and 770 critical patients. Patients in shock due to penetrating injuries who received the TruShoC intervention delivered by BLS providers had clinically improved but statistically non-significant clinical outcomes compared to control-site patients. We implemented the H.E.E.T. training program with high implementation fidelity 76 mean effectiveness, per RE-AIM. Knowledge and skills acquisition and retention up to 12-months post-intervention of TruShoC was superior in our intervention effort.
- Medicine and Medical Research