ArticleThe Journal of surgical research2020
Team Assessment and Decision Making Is Associated With Outcomes: A Trauma Video Review Analysis.
Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring tools used in the assessment of Trauma Team Leadership using video review: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review.BMC emergency medicine · 2023Pooled it
- Influence of sociodemographic factors on expert-rated non-technical skills in trauma team simulations.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Under the lens: utilizing trauma video review for performance improvement, quality improvement and resident and fellow education.Trauma surgery & acute care open · 2026Review
- Standardized data definitions for adult trauma video review: an expert consensus report.Trauma surgery & acute care open · 2026Article
- Enhanced Trauma Video Review With Computer Vision: Trauma Resuscitation Phase Segmentation and Procedure Detection.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Article
- Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Variations in Trauma Education Practices Across Emergency Medicine Residencies: Insights from a National Survey of Program Directors.Advances in medical education and practice · 2024Article
- Getting out of the bay faster: Assessing trauma team performance using trauma video review.The journal of trauma and acute care surgery · 2024Observational
- Nontechnical Skills for Intraoperative Team Members.Anesthesiology clinics · 2023Review
- Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations.The journal of trauma and acute care surgery · 2023Article
- Introducing the Safety Threats and Adverse events in Trauma (STAT) taxonomy: standardized classification system for evaluating safety during trauma resuscitation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Reliability of the assessment of non-technical skills by using video-recorded trauma resuscitations.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Staff perceptions of the implementation of a trauma video review program at a level I trauma center.AEM education and training · 2021Article
- Defining adverse events during trauma resuscitation: a modified RAND Delphi study.Trauma surgery & acute care open · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundTeamwork is a critical element of trauma resuscitation. Assessment tools such as T-NOTECHS (Trauma NOn-TECHnical Skills) exist, but correlation with patient outcomes is unclear. Using emergency department thoracotomy (EDT), we sought to describe T-NOTECHS scores during resuscitations. We hypothesized that patients undergoing EDT whose resuscitations had better scores would be more likely to have return of spontaneous circulation (ROSC).
methodsContinuously recording video was used to review all captured EDTs over a 24-mo period. We used a modification of the validated T-NOTECHS instrument to measure five domains on a 3-point scale (1 = best, 2 = average, 3 = worst). A total T-NOTECHS score was calculated by one of three reviewers. The primary outcome was ROSC. ROSC was defined as an organized rhythm no longer requiring internal cardiac compressions. Associations between variables and ROSC were examined using univariate regression.
resultsSixty-one EDTs were captured. Nineteen patients had ROSC (31%) and 42 (69%) did not. The median T-NOTECHS score for all resuscitations was 8 [IQR 6-10]. As demographic and injury data (age, gender, mechanism, signs of life) were not associated with ROSC in univariate analysis, they were not considered for inclusion in a multivariable regression model. The association between overall T-NOTECHS score and ROSC did not reach statistical significance, but examination of the individual components of the T-NOTECHS score demonstrated that, compared to resuscitations that had "average" (2) or "worst" (3) scores on "Assessment and Decision Making," resuscitations with a "best" score were 5 times more likely to lead to ROSC.
conclusionsAlthough the association between overall T-NOTECHS scores and ROSC did not reach statistical significance, better scores in the domain of assessment and decision making are associated with improved rates of ROSC in patients arriving in cardiac arrest who undergo EDT. LEVEL OF EVIDENCE: Level IV Therapeutic/Care Management.
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