Accession Number:

AD1155387

Title:

Emergency Refreshing of Combat Surgical Skills

Descriptive Note:

[Technical Report, Final Report]

Corporate Author:

MARYLAND UNIV BALTIMORE

Personal Author(s):

• Tisherman, Samuel A
• Puche, Adam
• Pugh, Kristina
• Agandi, Lorreen

Report Date:

2021-09-01

Pagination or Media Count:

16

Abstract:

This project explores techniques for rapid emergency refreshing of critical combat surgical skills to improve the performance and outcome of trauma surgical procedures. The project capitalizes upon metrics developed in a previously funded projectW81XWH-13-2-0028 that include knowledge, anatomy, management, procedural steps, technical skills, errors, time to complete the procedures, overall success and global rating scales. We will study performance of surgeons with varying trauma experience who trained previously in Advanced Surgical Skills for Exposure in Trauma procedures. The interventions include a video review immediately pre-operatively or on demand intra-operatively and intra-operative telementor guidance from a remotely located expert. During this first year of the project both interventions were developed and tested. Preliminary data assessing fasciotomy success suggest improvement in the number of compartments decompressed using the video review tool. The goals of the coming year are to continue subject evaluations and begin data analysis, including analysis of surgeons think-alouds and telementor interaction.

Descriptors:

• medical personnel
• combat injuries
• health services
• cognition
• surgery
• arteries
• upper extremity
• military medicine
• training
• abstracts
• biomedical research
• maryland
• urban areas
• data analysis
• decompression
• hospitals
• identification

Subject Categories:

• Medicine and Medical Research
• Personnel Management and Labor Relations

Distribution Statement:

[A, Approved For Public Release]