Effectiveness of the Primary Trauma Care Course: Is the outcome satisfactory?

In India the organized trauma care services are restricted only to tertiary care centres and golden hour trauma care is often delayed. We decided to create awareness among the MBBS students by teaching basic trauma management skills since they are the first responders to a trauma victim brought to any hospital setup. This would help improve primary trauma care. Aim: To assess the improvement in knowledge, attitude and practice after primary trauma care workshop in MBBS students Methods and Material: A one day primary trauma care workshop was conducted in our institute for two consecutive years during the annual academic undergraduate conference 2018 and 2019 respectively. The MBBS students enrolled were given a questionnaire to solve before and after the workshop. They received a lecture on triage and hands-on practice on Primary survey, log roll & cervical spine stabilization, Airway management, Intravenous fluids & shock management and Basic life support. Statistical analysis: The pre and post workshop questionnaires were statistically analyzed by paired t-test using software version SPSS 20.0 and a P value of < 0.05 was considered statistically significant. Results: Pre workshop 9.9% and 10.5% of the students had above average total score in 2018 and 2019 respectively which increased to 67.6% and 78.5% post workshop. The mean Knowledge, Attitude and Practice scores also improved individually. Conclusion: We should include such workshops in the undergraduate curriculum, it would improve primary trauma care and will reduce trauma related morbidity and mortality

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Experiencia PTC (Primary Trauma Care). Cuidados iniciales en el trauma

Medwave ◽

10.5867/medwave.2003.10.2429 ◽

2003 ◽

Vol 3 (10) ◽

Author(s):

Ítalo Zamudio

Keyword(s):

Trauma Care ◽

Primary Trauma

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Effect of simulation on the clinical competence of Swedish ambulance nurses

Australasian Journal of Paramedicine ◽

10.33151/ajp.11.2.20 ◽

2014 ◽

Vol 11 (2) ◽

Cited By ~ 2

Author(s):

Magnus Andersson Hagiwara ◽

Anna Kängström ◽

Anders Jonsson ◽

Lars Lundberg

Keyword(s):

Situation Awareness ◽

Trauma Care ◽

Clinical Competence ◽

Education And Training ◽

Advanced Airway ◽

Initial Care ◽

Post Test ◽

In The Beginning ◽

Care Course ◽

And Training

IntroductionSimulation has become an established method for education and training of Emergency Medical Services personnel in different skills such as advanced airway techniques, also in evaluation and initial care of stroke patients and in pre-hospital trauma. Simulation can be a useful method to improve learning. The aim of the present study was to investigate the effect of simulation on the clinical competence in a pre-hospital trauma care course for ambulance nurses.MethodsThe study was performed using a before-after design. Seventeen ambulance nurse students who participated in a trauma care course were evaluated in two simulated trauma cases. All subjects had passed the initial theoretical part of the course. The pre-test was performed in the beginning of the following part of the course involving simulation and the post-test at the end of the course. The analysis was performed by assessment of performance, as seen on video-tapes from the pre-tests and the post-tests. A validated instrument was used to determine the level of student’s clinical competence. Paired t-test was used to confirm differences between the pre-test and post-test results.ResultsThere was a significant increase in the over-all results for the post-test, with a difference of 1.12 points (t=4.642, df=16, p=0.001) Situation Awareness, Patient Assessment and Decision Making showed the most pronounced improvements.ConclusionThe results imply that simulation in addition to traditional theoretical education improves the clinical competence of the students, in comparison to traditional education and training without any significant amount of simulation.

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