Abstract
ObjectivePatients with life- or limb-threatening severe injuries pose a challenge to prehospital services. Time-critical decision making and treatment are challenging because of occasional incomplete information, limited resources, adverse environments, and a range of basic and advanced technical skills available. To prepare for these infrequent critical situations, medical personnel from the helicopter emergency medical service at Oslo University Hospital developed a 1-day advanced trauma training course focusing on individual skills and teamwork during resuscitative procedures. MethodsParticipants were trained under supervision in teams on an established live tissue model with anesthetized pigs. A questionnaire-based evaluation was conducted before and after training to measure the feasibility of covering the allocated learning objectives in the time allotted and participants’ perception of any change in their skills as a result of the course. ResultsThe self-reported skill level in all learning objectives improved significantly. Combining all learning objectives, the median self-reported skill level was significantly increased from 4 to 6 points (P < .001). ConclusionExperienced prehospital physicians and other health staff reported an increased level of skill and competence in lifesaving and limb-saving procedures after completing a brief, intense 1-day course using living anesthetized pigs and cadaver models.
Highlights
MethodsThe prehospital live tissue training (PLTT) course takes place 4 to 6 times per year at Oslo University Hospital. Prehospital physicians, paramedics (PMs), and helicopter emergency medical service (HEMS) crewmembers (HCMs) employed in the advanced prehospital emergency services may attend
Major physical injury often necessitates advanced emergency care
The median number of years working as a specialist was 7 (IQR, 2.25-12)
Summary
The PLTT course takes place 4 to 6 times per year at Oslo University Hospital. Prehospital physicians, paramedics (PMs), and HEMS crewmembers (HCMs) employed in the advanced prehospital emergency services may attend. Promoting Excellence and Reflective Learning in Simulation (PEARLS) was used as an overall principle.[18] For specific tasks, we used rapid cycle deliberate practice, which offers the opportunity for participants to repeat a procedure after feedback.[19] Debrief on demand was used when technical procedures needed immediate correction and feedback.[20] Because the groups consisted of experienced providers, peer-led debriefing could be used when appropriate.[21] During debriefs, both the technical aspects of the procedure and its application in prehospital care were discussed. Instructors All instructors were experienced senior prehospital flight physicians from the HEMS service at Oslo University Hospital with extensive teaching experience. They were all instructed in the use of living animals in training by a senior member of the laboratory staff (M.E.) at Oslo University Hospital (formerly Ullevaal Hospital).
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