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Emergency Refreshing of Combat Surgical Skills
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 project(W81XWH-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.
Approved For Public Release