Evidence map›Paper›PMID 28806988›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017

Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial.

David Häske, Stefan K Beckers, Marzellus Hofmann, Rolf Lefering, Paul A Grützner, Ulrich Stöckle, Vassilios Papathanassiou, Matthias Münzberg

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. No trauma-related diagnosis in emergency trauma room whole-body computer tomography of patients with inconspicuous primary survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Improved pre-hospital care efficiency due to the implementation of pre-hospital trauma life support (PHTLSEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
  9. Article
  10. Article
  11. 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

8 authors.

David HäskeFaculty of Medicine, Eberhard Karls University Tübingen, 72076, Tuebingen, Germany.
Stefan K BeckersDepartment of Anesthesiology, University Hospital RWTH, Aachen, 52074, Aachen, Germany.
Marzellus HofmannFaculty of Health, University of Witten/Herdecke, 58448, Witten, Germany.
Rolf LeferingInstitute for Research in Operative Medicine, University of Witten/Herdecke, 51109, Cologne, Germany.
Paul A GrütznerDepartment of Trauma Surgery and Orthopedics, BG Hospital Ludwigshafen, BG Trauma Center Ludwigshafen, Ludwig-Guttmann-Str. 13, D-67071, Ludwigshafen, Germany.
Ulrich StöckleDepartment of Traumatology and Reconstructive Surgery, BG Hospital Tuebingen, 72076, Tuebingen, Germany.
Vassilios PapathanassiouInstitute of Medical Psychology, University Hospital of the Saarland and Medical Faculty of the University of Saarland, /Saar, 66421, Homburg, Germany.
Matthias MünzbergDepartment of Trauma Surgery and Orthopedics, BG Hospital Ludwigshafen, BG Trauma Center Ludwigshafen, Ludwig-Guttmann-Str. 13, D-67071, Ludwigshafen, Germany. matthias.muenzberg@bgu-ludwigshafen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehospital trauma care is stressful and requires multi-professional teamwork. A decrease in the number of accident victims ultimately affects the routine and skills and underlines the importance of effective training. Standardized courses, like PHTLS, are established for health care professionals to improve the prehospital care of trauma patients. The aim of the study was to investigate the subjective safety in prehospital trauma care and learning progress by paramedics in a longitudinal analysis.

methodsThis was a prospective intervention trial and part of the mixed-method longitudinal EPPTC-trial, evaluating subjective and objective changes among participants and real patient care as a result of PHTLS courses. Participants were evaluated with pre/post questionnaires as well as one year after the course.

resultsWe included 236 datasets. In the pre/post comparison, an increased performance could be observed in nearly all cases. The result shows that the expectations of the participants of the course were fully met even after one year (p = 0.002). The subjective safety in trauma care is significantly better even one year after the course (p < 0.001). Regression analysis showed that (ABCDE)-structure is decisive (p = 0.036) as well as safety in rare and common skills (both p < 0.001). Most skills are also rated better after one year. Knowledge and specific safety are assessed as worse after one year.

conclusionThe courses meet the expectations of the participants and increase the subjective safety in the prehospital care of trauma patients. ABCDE-structure and safety in skills are crucial. In the short term, both safety in skills and knowledge can be increased, but the courses do not have the power to maintain knowledge and specific subjective safety issues over a year.

trial registrationGerman Clinical Trials Register, ID DRKS00004713 , registered 14. February 2014.

Indexed as

Emergency Medical ServicesPatient SafetySelf ConceptAdultClinical CompetenceControlled Before-After StudiesEmergency Medical TechniciansFemaleGermanyHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSurveys and QuestionnairesTraumatologyAllied health personnelCompetenceLearning progressSafetySelf-confidenceSkillStructureTrauma care

Identifiers

PMID28806988
PMCPMC5557465

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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.