SP5.2.5 Optimising Communication during Damage Control Surgery- a survey of adult Major Trauma Centres in England

Abstract

Abstract Aims Snap briefs (truncated WHO checklists) and Sit Reps (situational reporting), are long established practices within the military, developed from their vast experience in treating patients requiring Damage Control Surgery (DCS)[1,2]. Our aim was to establish if formal systems like these are in place in Major Trauma Centres (MTCs) in England, and gather staff's experiences of using these systems. Methods An online survey was devised and distributed to MTCs in England via the Major Trauma Network. It consisted of 14 questions, relating to use of modified WHO checklists and Sit Reps during DCS. Results Results were received from all 23 adult MTCs in England. Eight centres (34.8%) reported using a modified WHO checklist for DCS. Most commonly these were modified to include reference to blood products used and available, other specialties needed, and presence of surgical equipment prior to start (eg. thoracotomy.) 12 centres (52.2%) are using Sit Reps during DCS. Many respondents from centres without a formal policy in place stated that they personally endeavor to maintain communication when they are involved in DCS cases, and recognised that a formal system would be greatly beneficial. Conclusion Many MTCs are not using truncated WHO checklists and Sit Reps for DCS. From the centres who have adopted these methods, staff have reported they improve shared decision making. Wider implementation of these techniques could therefore lead to both improved patient care and staff experiences.