Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study

Abstract

Abstract Background Many methods and tools have been suggested to enhance the efficiency of trauma team (TT) work. However, most of these methods necessitate costly simulators and mannequins, which demand significant financial and human resources. Objective Was to determine the impact of structured debriefings (SD) with audio/video review of trauma patients' resuscitation events on TT technical and non-technical skills. Methods Single center prospective observational cohort study. The study included all ED patients aged 18 years or older who received resuscitation from the trauma team (TT). Virtual meeting was held with the TT using SD to review one trauma patient resuscitation video. Technical skills improvement was based on adherence to the ATLS protocol and non-technical skills based on T-NOTECHS scale. Results There was statistically significant improvement in adherence to the ATLS protocol: 73% [55–82%] vs 91% [82–100%] (p < 0.001); and improvement in T-NOTECHS scale: 12 [10–14] vs 16 [14–19] points (p < 0.001). Conclusion In this study we found that structured debriefings with review of patients' resuscitation video recordings can have a significant positive impact on trauma team performance in the emergency department in both technical and non-technical skills.