The main trauma room of a le
vel one trauma centre was equipped with a digital
video recording s
ystem. Resuscitations were consecuti
vel
y and prospecti
vel
y enrolled. Patients with re
vised trauma score (RTS) = 12 were resuscitated b
y a ‘minor trauma team’ and patients with RTS < 12 b
y a ‘major trauma team’. Information transferral from ph
ysicians to other team members was e
valuated separatel
y for all ABCDE's, according to initiation, audibilit
y and response. The obser
ver was trained and the first 30
video's were excluded.
Results:
From May 1st to September 1st 2003, 205 resuscitations were included, 12 were lost for evaluation. The ‘major trauma team’ resuscitated 74 patients (ISS:21.4). Communication was audible in 56 % and understandable in 44 % during the primary survey.
The ‘minor trauma team’ assessed 119 patients (ISS:7.4). Communication was audible in 43 % and understandable in 33 % .
Conclusions:
Communication during trauma resuscitation was found to be sub optimal. This is potentially harmful for trauma victims. Professionals and institutions should be aware that communication is not self-evident. Introduction of an aviation-like communication feedback system could help to optimise trauma care.v>v>
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v class=""articleTitle"">Trauma teams? Publishing takes teamwork too!
