Evidence map›Paper›PMID 36414695›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Worldwide snapshot of trauma team structure and training: an international survey.

André Bento, Luís Ferreira, Carlos Yánez Benitez, Piotr Koleda, Gustavo P Fraga, Piotr Kozera, Sérgio Baptista, Carlos Mesquita, Henrique Alexandrino

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Translating training to medical practice in trauma care, a literature review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  3. Article
  4. Review
  5. Article
  6. Review
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

9 authors at 7 institutions in 4 countries.

André BentoFaculty of Medicine, University of Coimbra, Coimbra, Portugal. bentoandre2008@gmail.com.ORCID http://orcid.org/0000-0002-7651-023X
Luís FerreiraDepartment of General Surgery, Hospital Central do Funchal, SESARAM, Funchal, Portugal.ORCID http://orcid.org/0000-0002-1895-7025
Carlos Yánez BenitezGeneral and Gastrointestinal Surgery, Royo Villanova Hospital, SALUD, Zaragoza, Spain.ORCID http://orcid.org/0000-0003-4998-5915
Piotr KoledaDepartment of Medical Simulation, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0001-5054-3829
Gustavo P FragaDivision of Trauma Surgery, School of Medical Sciences (SMS), University of Campinas (Unicamp), Campinas, SP, Brazil.ORCID http://orcid.org/0000-0002-9524-1186
Piotr KozeraFaculty of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.ORCID http://orcid.org/0000-0001-7939-277X
Sérgio BaptistaDepartment of Anesthesiology, Centro Hospitalar do Médio Tejo, EPE, Tomar, Portugal.ORCID http://orcid.org/0000-0001-8497-7609
Carlos MesquitaHead of Clinic (Consultancy in General and Emergency Surgery and Trauma), Private Practice Coimbra, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-8804-5267
Henrique AlexandrinoDepartment of General Surgery, Faculty of Medicine, Coimbra University Hospital Center, University of Coimbra, Praceta Mota Pinto, 3000-045, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-0279-9659
University of Coimbra · PTCentro Hospitalar do Porto · PTHospital Dr. Nélio Mendonça · PTHospital Royo Villanova · ESUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of Warmia and Mazury in Olsztyn · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTrauma teams (TTs) are a key tool in trauma care, as they bring a multidisciplinary approach to the trauma patient, improving outcomes. Excellent teamwork (TW) requires not only individual skills but also training at non-technical skills (NTS). Although there is evidence supporting TTs, there is little information regarding how they are organized and trained. With this study, we intend to assess the reality of TTs all over the world, focusing on how they are organized and trained. MATERIALS AND

methodsWe composed a 42-question sheet on Google Forms, in four different languages (English, Polish, Portuguese, and Spanish). The questions regarded the respondents' background, and their respective hospitals' trauma patient management, TT features and its training, NTS and TW. The survey was shared on social media, through the International Assessment Group of Online Surgical & Trauma Education community, and the European Society of Trauma and Emergency Surgery. Statistical analysis was performed on Statistical Package for the Social Sciences (SPSS

resultsWe obtained 296 answers from 52 different countries, with 6 having at least 10 answers (Brazil, Portugal, Poland, Spain, Italy, and USA). While the majority of the respondents (97%) agreed that TTs can improve outcomes, only 61% have a TT in their hospital, with 69% of these being dedicated TTs. General surgery (76%), trauma surgery (68%), and anesthesia (66%) were the three most common specialties in the teams. Teams performed briefings and debriefings with a frequency of, at least, "often" in only 49% and 38%, respectively. Only 50% and 33% of the respondents stated that their hospital provided trauma management courses focusing on individual technical skills, and TT training courses, respectively. The Advanced Trauma Life Support (85%), the Definitive Surgical and Anesthetic Trauma Care (38%), and the European Trauma Course (31%) were the three trauma management courses of choice. Regarding TT training courses, the European Trauma Course (52%) and local/in-house (42%) courses were the most common ones. Most participants (93%) stated that NTS were highly important in trauma care. However, only 60% of the respondents had postgraduate training on NTS and TW, and only 24% had this type of training on an undergraduate level.

conclusionThe number of TTs worldwide does not match their relevance in trauma care. Institutions are not providing enough trauma courses, particularly TT training courses and NTS teaching. Implementing TT should include promotion of team courses, as well as team briefings and debriefings.

Indexed as

CurriculumSurgical WoundAdvanced Trauma Life Support CareClinical CompetenceHumansPatient Care TeamSurveys and QuestionnairesNon-technical skillsSurveyTrauma coursesTrauma teamTrauma team training

Identifiers

PMID36414695
OpenAlexW4309644028

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.