scholarly journals Using Trauma Video Review to Assess Emergency Medical Services Handoff and Trauma Team Non-Technical Skills

2021 ◽  
Vol 233 (5) ◽  
pp. S306-S307
Author(s):  
Madhuri B. Nagaraj ◽  
Jessica E. Lowe ◽  
Alexander L. Marinica ◽  
Brandon B. Morshedi ◽  
Marshal Isaacs ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Trauma Team ◽  
Technical Skills ◽  
Medical Services ◽  
Video Review ◽  
Emergency Medical

Clinical handover from emergency medical services to the trauma team: A gap analysis

CJEM ◽  
2020 ◽  
Vol 22 (S2) ◽  
pp. S21-S29
Author(s):  
Arshia P. Javidan ◽  
Avery B. Nathens ◽  
Homer Tien ◽  
Luis T. da Luz
Keyword(s):  
Emergency Medical Services ◽  
Gap Analysis ◽  
Trauma Team ◽  
Trauma Centre ◽  
Medical Services ◽  
Active Listening ◽  
Team Leaders ◽  
Process Measures ◽  
Team Members ◽  
Emergency Medical

ABSTRACTObjectivesThere has been limited evaluation of handover from emergency medical services (EMS) to the trauma team. We sought to characterize these handover practices to identify areas of improvement and determine if handover standardization might be beneficial for trauma team performance.MethodsData were prospectively collected over a nine-week period by a trained observer at a Canadian level one trauma centre. A randomized scheduled was used to capture a representative breadth of handovers. Data collected included outcome measures such as duration of handover, structure of the handover, and information shared, process measures such as questions and interruptions from the trauma team, and perceptions of the handover from nurses, trauma team leaders and EMS according to a bidirectional Likert scale.Results79 formal verbal handovers were observed. Information was often missing regarding airway (present 22%), breathing (54%), medications (59%), and allergies (54%). Handover structure lacked consistency beyond the order of identification and mechanism of injury. Of all questions asked, 35% were questioning previously given information. The majority of handovers (61%) involved parallel conversations between team members while EMS was speaking. There was a statistically significant disparity between the self-evaluation of EMS handovers and the perceived quality determined by nurses and trauma team leaders.ConclusionsWe have identified the need to standardize handover due to poor information content, a lack of structure and active listening, information repetition, and discordant expectations between team members. These data will guide the development of a co-constructed framework integrating the perspectives of all team members.

scholarly journals Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey

2014 ◽  
Vol 32 (8) ◽  
pp. 647-653 ◽  
Author(s):  
Håkon B Abrahamsen ◽  
Stephen J M Sollid ◽  
Lennart S Öhlund ◽  
Jo Røislien ◽  
Gunnar Tschudi Bondevik
Keyword(s):  
Emergency Medical Services ◽  
Technical Skills ◽  
Medical Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical ◽  
Simulation Based

scholarly journals P079: Clinical handover from emergency medical services to the trauma team: A gap analysis

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S92-S93
Author(s):  
A. Javidan ◽  
A. Nathens ◽  
H. Tien ◽  
L. da Luz
Keyword(s):  
Emergency Medical Services ◽  
Trauma Team ◽  
Trauma Centre ◽  
Medical Services ◽  
Active Listening ◽  
Team Leaders ◽  
Significant Information ◽  
Team Members ◽  
Clinical Handover ◽  
Emergency Medical

Background: Clinical handover between emergency medical services (EMS) and the hospital trauma team can be subject to errors that may negatively affect patient care. Thus far, there has been limited evaluation of the quality of EMS handover. As such, we sought to characterize handover practices from EMS to the trauma team, identify areas for improvement, and determine if there is a need for standardization of current handover practices. Aim Statement: Identify areas for improvement in handover from EMS to the trauma team, specifically examining handover content, structure, and discordances between different team members regarding handover expectations. Measures & Design: Data were prospectively collected over a nine week period by a trained observer at Canada's largest level one trauma centre. A randomized scheduled was used to capture a representative breadth of handovers. Data collected included outcome measures such as duration of handover, structure of the handover, and information shared, process measures such as questions and interruptions from the trauma team, and perceptions of the handover from nurses, trauma team leaders (TTLs) and EMS according to a bidirectional Likert scale. Evaluation/Results: Of 410 trauma team activations, 79 verbal handovers were observed. Information was often missing regarding airway (present 22%), breathing (54%), medications (59%), and allergies (54%). Handover structure lacked consistency beyond the order of identification and mechanism of injury. Only 28% of handovers had a dedicated question and answer period. Of all questions asked, 35% were questioning previously given information. EMS returned to categories of information unprompted in 84% of handovers. The majority of handovers (61%) involved parallel conversations between team members while EMS was speaking, which was associated with a greater number of interrupting questions from the trauma team (3.15 vs. 1.82, p =.001). There was a statistically significant disparity between the self-evaluation of EMS handovers and the perceived quality determined by nurses and trauma team leaders. Discussion/Impact: At our trauma centre, we have identified the need for handover standardization due to poor information content, a lack of structure and active listening, significant information repetition, and discordant expectations between EMS, nurses, and TTLs. We intend to use our results to guide the development of a co-constructed framework integrating the perspectives of all team members on the trauma team.

Disaster Relief and Emergency Medical Services (DREAMS): Texas A&M Digital EMS and the Detection and Remediation of Chemical Threat Agents

2003 ◽  
Author(s):  
Richard E. Ewing ◽  
Larry Flournoy ◽  
Jim Wall ◽  
Wild Jim ◽  
Richard Crooks ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Disaster Relief ◽  
Medical Services ◽  
Emergency Medical
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