Evidence map›Paper›PMID 26100783›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2015

Technical innovations that may facilitate real-time telementoring of damage control surgery in austere environments: a proof of concept comparative evaluation of the importance of surgical experience, telepresence, gravity and mentoring in the conduct of damage control laparotomies.

Andrew W Kirkpatrick, Anthony LaPorta, Susan Brien, Tim Leslie, Elon Glassberg, Jessica McKee, Chad G Ball, Heather E Wright Beatty, Jocelyn Keillor, Derek J Roberts and 1 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Transposing intensive care innovation from modern warfare to other resource-limited settings.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. Article
  3. Article
  4. Strategies to improve communication in telementoring in acute care coordination: a scoping review.Canadian journal of surgery. Journal canadien de chirurgie · 2020
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrew W KirkpatrickThe Regional Trauma Services, the Department of Surgery, University of Calgary, Calgary, Alta. and the Canadian Forces Health Services.
Anthony LaPortaThe Rocky Vista School of Osteopathic Medicine, Parker, Colo.
Susan BrienThe Royal College of Physicians and Surgeons of Canada, Ottawa, Ont.
Tim LeslieNRC Aerospace Flight Research Laboratory, Ottawa, Ont.
Elon GlassbergThe Trauma & Combat Medicine Branch, Surgeon General's HQ, Israel Defense Forces, Ramat Gan, Israel.
Jessica McKeeThe Innovative Trauma Care, Edmonton, Alta.
Chad G BallThe Regional Trauma Services, and the Department of Surgery, University of Calgary, Calgary, Alta.
Heather E Wright BeattyThe NRC Aerospace Flight Research Laboratory, Ottawa, Ont.
Jocelyn KeillorThe NRC Aerospace Flight Research Laboratory, Ottawa, Ont.
Derek J RobertsThe Regional Trauma Services and the Department of Surgery, University of Calgary, Calgary, Alta.
Homer TienThe Canadian Forces Health Services, the 1 Canadian Field Hospital, Petawawa, Ont., the Trauma Services and the Department of Surgery, Sunnybrook Medical Centre, Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bleeding to death is the most preventable cause of posttraumatic death worldwide. Despite the fact that many of these deaths are anatomically salvageable with relatively basic surgical interventions, they remain lethal in actuality in prehospital environments when no facilities and skills exist to contemplate undertaking basic damage control surgery (DCS). With better attention to prehospital control of extremity hemorrhage, intracavitary bleeding (especially intraperitoneal) remains beyond the scope of prehospital providers. However, recent revolutions in the informatics and techniques of telementoring (TMT), DCS and highly realistic accelerated training of motivated first responders suggests that basic lifesaving DCS may have applicability to save bleeding patients in austere environments previously considered unsalvageable. Especially with informatic advances, any provider with Internet connectivity can potentially be supported by highly proficient specialists with content expertise in the index problem. This unprecedented TMT support may allow highly motivated but inexperienced personnel to provide advanced surgical interventions in extreme environments in many austere locations both on and above the planet.

Indexed as

InternetLaparotomyMentorsAbdominal InjuriesAerospace MedicineClinical CompetenceEmergenciesEnvironmentHemorrhageHumansTelemedicine

Identifiers

PMID26100783
PMCPMC4467498

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.