Evaluation of Current and Future Medical Staff Knowledge on the Course of Trauma Patient Management

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Aug 9

PMID 39119394

Authors

Anna Dabrowska

Wiktoria Malik

Dorota Czachor

Weronika Jarych

Anna Wscislak

Zuzanna Swiader

Lucja Komisarczyk

Piotr Palczynski

Affiliations

Soon will be listed here.

Abstract

Introduction: Management of injuries, especially in life-threatening situations, is critical to morbidity and mortality for trauma patients. The qualifications of medical staff and students in medicine, emergency medical services, and nursing help to ensure consistent, high-quality care for patients. The study aimed to assess the knowledge of our staff and learners in the management of trauma patients.

Material And Methods: The study was carried out using a proprietary research tool consisting of 47 questions, including six independent variables. The knowledge assessment tool has been divided into five categories according to the degree of difficulty. The questions have been created based on the current guidelines of the ERC 2021, ITLS, PTLS, and TCCC.

Results: The study included 295 subjects (medical students, nursing students, students of emergency medical services, physicians, paramedics, and nurses). The vast majority of respondents (79.7%) have never participated in a certified trauma course. Respondents could obtain a total of 117 points for answering all questions. The highest score was 111 points, and the lowest was 26 points. The average score was 63 points. Paramedics received the highest average score of 78 points. The question with the smallest number of correct answers concerned the priority procedure in the case of an electric shock victim.

Conclusion: Better training in trauma patient management is needed for both current medical staff and students. A certified trauma course is a good source of knowledge and skills, but it would need to be repeated periodically. This would ensure an increase in the competence of medical staff involved in the care of trauma patients.

Citing Articles

The Effectiveness of the International Trauma Life Support (ITLS) Course on Multidisciplinary Healthcare Providers.

AlQorashi S, Kabli A, Alwithenani S, Alharbi S, Alshehri M Cureus. 2025; 17(1):e77886.

PMID: 39996193 PMC: 11848223. DOI: 10.7759/cureus.77886.

References

Ogrinc G, Armstrong G, Dolansky M, Singh M, Davies L . SQUIRE-EDU (Standards for QUality Improvement Reporting Excellence in Education): Publication Guidelines for Educational Improvement. Acad Med. 2019; 94(10):1461-1470. PMC: 6760810. DOI: 10.1097/ACM.0000000000002750. View

Jayaraman S, Sethi D, Wong R . Advanced training in trauma life support for ambulance crews. Cochrane Database Syst Rev. 2014; (8):CD003109. PMC: 6492494. DOI: 10.1002/14651858.CD003109.pub3. View

Rhue A, VanDerveer B . Wilderness First Responder: Are Skills Soon Forgotten?. Wilderness Environ Med. 2018; 29(1):132-137. DOI: 10.1016/j.wem.2017.11.005. View

Larraga-Garcia B, Quintana-Diaz M, Gutierrez A . The Need for Trauma Management Training and Evaluation on a Prehospital Setting. Int J Environ Res Public Health. 2022; 19(20). PMC: 9602774. DOI: 10.3390/ijerph192013188. View

Lam N, Huong H, Tuan C . Knowledge on emergency management for burn and mass burn injuries amongst physicians working in emergency and trauma departments. Ann Burns Fire Disasters. 2018; 31(2):138-143. PMC: 6199015. View

Mackersie R, Dicker R . Pitfalls in the evaluation and management of the trauma patient. Curr Probl Surg. 2007; 44(12):778-833. DOI: 10.1067/j.cpsurg.2007.09.006. View

Zargaran A, Houlden R, ONeill P, Schaffer S, Chang V, Golahmadi A . Emergency medicine undergraduate simulation training during the COVID-19 pandemic: A course evaluation. Injury. 2022; 53(10):3191-3194. PMC: 9251958. DOI: 10.1016/j.injury.2022.07.003. View

Haske D, Beckers S, Hofmann M, Lefering R, Preiser C, Gliwitzky B . Performance Assessment of Emergency Teams and Communication in Trauma Care (PERFECT checklist)-Explorative analysis, development and validation of the PERFECT checklist: Part of the prospective longitudinal mixed-methods EPPTC trial. PLoS One. 2018; 13(8):e0202795. PMC: 6108494. DOI: 10.1371/journal.pone.0202795. View

Akiode O, Musa A, Shonubi A, Lesi F . Basic trauma life support: knowledge of medical students. Niger Postgrad Med J. 2005; 12(1):14-7. View

10.

Valentino T . Major trauma: What is important for the best outcome and survival?. J Postgrad Med. 2017; 63(3):149-150. PMC: 5525477. DOI: 10.4103/jpgm.JPGM_752_16. View

11.

Chowdhury S, Almarhabi M, Varghese B, Leenen L . Trauma Resuscitation Training: An Evaluation of Nurses' Knowledge. J Trauma Nurs. 2022; 29(4):192-200. DOI: 10.1097/JTN.0000000000000661. View

12.

Hill K, Johnson E, Lutomia M, Puyana J, Lee K, Oduor P . Implementing the Trauma Evaluation and Management (TEAM) Course in Kenya. J Surg Res. 2018; 232:107-112. DOI: 10.1016/j.jss.2018.05.066. View

13.

Lott C, Araujo R, Cassar M, Di Bartolomeo S, Driscoll P, Esposito I . The European Trauma Course (ETC) and the team approach: past, present and future. Resuscitation. 2009; 80(10):1192-6. DOI: 10.1016/j.resuscitation.2009.06.023. View

14.

Amiri H, Gholipour C, Mokhtarpour M, Shams Vahdati S, Aghdam Y, Bakhshayeshi M . Two-day primary trauma care workshop: early and late evaluation of knowledge and practice. Eur J Emerg Med. 2012; 20(2):130-2. DOI: 10.1097/MEJ.0b013e32835608c6. View

15.

Muzzammil M, Minhas M, Ramzan Ali S, Jooma R, Minhas M, Jabbar S . Primary trauma care course: Alternative basic trauma course in developing countries. "The Need Of The Hour". Int J Clin Pract. 2021; 75(8):e14327. DOI: 10.1111/ijcp.14327. View

16.

Vianen N, Van Lieshout E, Maissan I, Bramer W, Den Hartog D, Verhofstad M . Prehospital traumatic cardiac arrest: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2022; 48(4):3357-3372. PMC: 9360068. DOI: 10.1007/s00068-022-01941-y. View

17.

Jayaraman S, Sethi D, Chinnock P, Wong R . Advanced trauma life support training for hospital staff. Cochrane Database Syst Rev. 2014; (8):CD004173. PMC: 7184315. DOI: 10.1002/14651858.CD004173.pub4. View

18.

Borggreve A, Meijer J, Schreuder H, Ten Cate O . Simulation-based trauma education for medical students: A review of literature. Med Teach. 2017; 39(6):631-638. DOI: 10.1080/0142159X.2017.1303135. View

19.

Schafer I, Hopchet M, Vandamme N, Ajdukovic D, El-Hage W, Egreteau L . Trauma and trauma care in Europe. Eur J Psychotraumatol. 2019; 9(1):1556553. PMC: 6319458. DOI: 10.1080/20008198.2018.1556553. View

20.

Rossiter N . "Trauma-the forgotten pandemic?". Int Orthop. 2021; 46(1):3-11. PMC: 8438546. DOI: 10.1007/s00264-021-05213-z. View