Regular, in-situ, team-based training in trauma resuscitation with video debriefing enhances confidence and clinical efficiency

Background: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. Methods: The training intervention is a regular (monthly), video debriefed, team-based trauma simulation. Training takes place in the fully functional resuscitation bay (in-situ) of the Department of Traumatology at the Klinikum Oldenburg (Level 1, primary teaching hospital for the Carl von Ossietzky University Oldenburg) involving a complete trauma team. Laerdal (R) Resusci Anne (R) dummy serves as the patient simulator. A special feature is a structured video debriefing of each participating team to analyse team performance. Data before and after implementation of training was retrospectively analysed. Results: We found a significant decrease in the time from arrival of the patient to computer tomography (CT, Spearman rank coefficient r = -0.236, p = 0.001). Evaluation of the questionnaire by team members described a significant increase in self-confidence (p < 0.05). Conclusion: Monthly video assisted team based in situ training with video debriefing significantly reduces resuscitation time in the emergency bay.