Observational studyThe journal of trauma and acute care surgery2024
Getting out of the bay faster: Assessing trauma team performance using trauma video review.
Observational study in The journal of trauma and acute care surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 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
- Team leader communication in ad hoc teams and its impact on team outcomes: a systematic review.BMC health services research · 2025Pooled it
- Checklist- and algorithm-based simulation training produce comparable improvements in teamwork-related shared mental models: a cluster-randomized study in trauma resuscitation teams.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Trial
- Standardized data definitions for adult trauma video review: an expert consensus report.Trauma surgery & acute care open · 2026Article
- Under the lens: utilizing trauma video review for performance improvement, quality improvement and resident and fellow education.Trauma surgery & acute care open · 2026Review
- 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
- Trauma video review: how long do we curb our enthusiasm?Trauma surgery & acute care open · 2025Article
- Changes in multidisciplinary perceptions of trauma video review following implementation of a novel program: let us go to the tape.Trauma surgery & acute care open · 2025Article
- Not too short, not too long, but just right: does pre-arrival time impact team performance?Trauma surgery & acute care open · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundMinutes matter for trauma patients in hemorrhagic shock. How trauma team function impacts time to the next phase of care has not been rigorously evaluated. We hypothesized better team performance scores to be associated with decreased time to the next phase of trauma care.
methodsThis retrospective secondary analysis of a prospective multicenter observational study included hypotensive trauma patients at 19 centers. Using trauma video review, we analyzed team performance with the validated Non-Technical Skills for Trauma scale: leadership, cooperation and resource management, communication, assessment/decision making, and situational awareness. The primary outcome was minutes from patient arrival to next phase of care; deaths in the bay were excluded. Secondary outcomes included time to initiation and completion of first unit of blood and inpatient mortality. Associations between team dynamics and outcomes were assessed with a linear mixed-effects model adjusting for Injury Severity Score, mechanism, initial blood pressure and heart rate, number of team members, and trauma team lead training level and sex.
resultsA total of 441 patients were included. The median Injury Severity Score was 22 (interquartile range, 10-34), and most (61%) sustained blunt trauma. The median time to next phase of care was 23.5 minutes (interquartile range, 17-35 minutes). Better leadership, communication, assessment/decision making, and situational awareness scores were associated with faster times to next phase of care (all p < 0.05). Each 1-point worsening in the Non-Technical Skills for Trauma scale score (scale, 5-15) was associated with 1.6 minutes more in the bay. The median resuscitation team size was 12 (interquartile range, 10-15), and larger teams were slower ( p < 0.05). Better situational awareness was associated with faster completion of first unit of blood by 4 to 5 minutes ( p < 0.05).
conclusionBetter team performance is associated with faster transitions to next phase of care in hypotensive trauma patients, and larger teams are slower. Trauma team training should focus on optimizing team performance to facilitate faster hemorrhage control. LEVEL OF EVIDENCE: Therapeutic/Care Management; Level III.
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