European Trauma Course - why should anaesthesiologists do it?
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A talk by Karl Christian Thies (UK) at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine. All available content from SSAI2017: https://scanfoam.org/ssai2017/ Delivered in collaboration between scanFOAM, SSAI & SFAI.
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European Trauma Course - why should anaesthesiologists do it?
- 1. European Trauma Course Why should anaesthesiologists do it? KC Thies Consultant in Anaesthesia and Pre-hospital Emergency Medicine Birmingham, UK
- 2. Conflict of Interest 1. Chair ETCO 2. Chair ESA Scientific Subcommittee for Critical Emergency Medicine –Trauma and Resuscitation
- 5. European Trauma Course 1. Idea 2. European cooperation 3. Course, educational concept 4. International implementation 5. New Developments
- 6. • Deformation of the car • High-Energy-Impact • Potentially severly injured • Spine-Immobilisation • Vital Functions stable • Extrication Do they really do it ? The ‘Kick Off’
- 7. Staten Island Ferry Crash, January 2013
- 8. PHTLS, ATLS
- 9. The Idea • Common Sense • Multi-specialty • Team approach • Adaptable • Adult education • Affordable • International accreditation
- 10. European Trauma Course Organisation
- 11. How we started 2006 Faculty first Pilot ETC Valetta, 2006
- 12. The 1st European Trauma Course Ghent, Belgium May 19th - 21st 2008
- 13. Objectives • Initial clinical management of major trauma • Non-technical skills
- 14. Objectives • Initial clinical management of major trauma • Non-technical skills
- 15. Objectives • Initial clinical management of major trauma • Non-technical skills
- 16. Target Groups • Doctors involved in trauma care - Basic knowledge of trauma required • ED-nurses, paramedics, ODPs - at independent practitioner level
- 17. Target Groups • Doctors involved in trauma care - Basic knowledge of trauma required • ED-nurses, paramedics, ODPs - at independent practitioner level
- 18. Target Groups • Doctors involved in trauma care - Basic knowledge of trauma required • ED-nurses, paramedics, ODPs - at independent practitioner level
- 19. Target Groups • Doctors involved in trauma care - Basic knowledge of trauma required • ED-nurses, paramedics, ODPs - at independent practitioner level • Bd 5/6 Trauma Support Practitioners - Pilot, started 2015
- 20. Target Groups • Doctors involved in trauma care - Basic knowledge of trauma required • ED-nurses, paramedics, ODPs - at independent practitioner level • Bd 5/6 Trauma Support Practitioners - Pilot, started 2015
- 21. Course format • 2,5 days • 24 candidates • 12 instructors • 1 lecture • 1 demonstration • 11 workshops • Assessment 90% practical in workshops
- 22. Teaching material • ALS dummies • Airway equipment • IVs, drips • Chest drains • Immobilisation equipment • Two laptops per workshop • SimMon
- 23. The candidates • Groups of four (six) • Work together as trauma teams • Team-leader, team- member, critiquer • TSP (nurse, scribe) • No set groups Chest trauma workshop
- 24. The workshops Airway Workshop • Airway management • Shock management • Chest trauma • TBI • Abdominal & pelvic trauma • Spinal trauma • Extremity trauma • Paediatric Trauma • Trauma in pregnancy • Transport
- 25. The workshops Paediatric Trauma Workshop • Airway management • Shock management • Chest trauma • TBI • Abdominal & pelvic trauma • Spinal trauma • Extremity trauma • Paediatric Trauma • Trauma in pregnancy • Transport
- 26. The scenarios • Each workshop contains 2-4 scenario (31 scenarios) • Each scenario has a specific learning objective • Each scenario contains - briefing - one guided trauma admission scenario - integrated skills teaching - team debriefing
- 38. The debriefing Learning Conversation • Most crucial part of the learning experience • Appraisal of individual and team aspects • Reflecting on learning objectives Debriefing
- 41. The implementation 200 official observer • National organisations • International organisaties 9000 health care professionals trained • 25 countries • Africa • Asia • Exponential growth Observers
- 45. • Egypt • UAE • Sudan • Jordan • Hong Kong
- 46. • 400 courses since start of the programme • Faculty - 70 course directors - 550 instructors - 900 instructor candidates ETC in numbers
- 47. What do the candidates think?
- 48. Southampton April 2017 What do the candidates think?
- 51. Human Factors, NTS and Teamwork
- 52. Growth of the programme 0 10 20 30 40 50 60 70 80 90 100 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Numberofcoursesperyear
- 54. Integration of Support Practitioners 0 5 10 15 20 25 30 poor not so good neither good nor poor quite good very good understanding of the roles and responsibilites of a Trauma Team Member? pre-course post-course
- 55. Integration of Support Practitioners 0 5 10 15 20 25 30 poor not so good neither good nor poor quite good very good understanding of the roles and responsibilites of a Trauma Team Member? pre-course post-course
- 56. Integration of Support Practitioners 0 5 10 15 20 25 30 poor not so good neither good nor poor quite good very good understanding of the role and responsibilities of a Trauma Team Leader? pre-course post-course
- 57. Integration of Support Practitioners 0 5 10 15 20 25 30 poor not so good neither good nor poor quite good very good understanding of the role and responsibilities of a Trauma Team Leader? pre-course post-course
- 58. Integration of Support Practitioners 0 2 4 6 8 10 12 14 16 18 20 poor not so good neither good nor poor quite good very good understanding of the primary survey in major trauma patients? pre-course post-course
- 59. Integration of Support Practitioners 0 2 4 6 8 10 12 14 16 18 20 poor not so good neither good nor poor quite good very good understanding of the primary survey in major trauma patients? pre-course post-course
- 60. Integration of Support Practitioners 0 2 4 6 8 10 12 14 16 very unconfident unconfident neither confident nor unconfident confident very confident How confident are you in treating major trauma patients in the Emergency Department as a member of a trauma team? pre-course post-course
- 61. Integration of Support Practitioners 0 2 4 6 8 10 12 14 16 very unconfident unconfident neither confident nor unconfident confident very confident How confident are you in treating major trauma patients in the Emergency Department as a member of a trauma team? pre-course post-course
- 63. European Trauma Course Why should anaesthesiologists do it? www.europeantraumacourse.com