Evidence map›Paper›PMID 37225244›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Paramedic to trauma team verbal handover optimization - a complex interaction.

Shaun Cowan, Patrick Murphy, Michael Kim, Brett Mador, Eddie Chang, Alison Kabaroff, Emerson North, Cheryl Cameron, Kevin Verhoeff, Sandy Widder

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Transport and destination hospital for patients with suspected multiple and/or severe injuries - a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Observational
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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

10 authors.

Shaun CowanFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North) cowan@ualberta.ca.
Patrick MurphyFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Michael KimFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Brett MadorFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Eddie ChangFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Alison KabaroffFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Emerson NorthFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Cheryl CameronFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Kevin VerhoeffFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).
Sandy WidderFrom the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHandover to the trauma team is crucial to trauma care. The emergency medical services (EMS) report must be concise, contain key details, and be time-limited. Effective handover is difficult, often occurring between unfamiliar teams, in chaotic environments, and without standardization. We aimed to evaluate handover formats in comparison to ad-lib communication during trauma handover.

methodsWe conducted a single-blind randomized simulation trial evaluating 2 structured handover formats. Paramedics randomly assigned to ad-lib, ISOBAR (identify, situation, observations, background, agreed plan, and readback) or IMIST (identification, mechanism/medical complaint, injuries/ information about complaint, signs, treatments) handover formats underwent scenarios in an ambulance, then transfer to the trauma team. Assessment of handovers was completed by the trauma team and by experts using audiovisual recordings.

resultsTwenty-seven simulations were conducted, 9 for each handover format. Participant ratings of the usefulness of the IMIST and ISOBAR formats were 9/10 and 7.5/10, respectively (

conclusionOur study shows agreement by prehospital and hospital personnel that a standardized handover tool is preferred. A brief confirmation of physiologic stability, including vital signs, limiting distractions, and team summarization improves handover effectiveness.

Indexed as

Emergency Medical ServicesPatient HandoffAmbulancesHumansParamedicsSingle-Blind Method

Identifiers

PMID37225244
PMCPMC10228662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.