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Contemporary uses of trauma video review: a scoping review

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Canadian Journal of Emergency Medicine Aims and scope Submit manuscript

Abstract

Objectives

Trauma resuscitations are sporadic, high-acuity situations and conducting observation in the trauma bay for the purpose of quality improvement is challenging. We aim to review contemporary uses of trauma video review.

Methods

Medline and Embase were searched from 1980 to May 2020 for studies involving trauma video review. English studies of adult and paediatric populations were included for study and analysed for uses of trauma video review, outcomes measured and any resulting quality improvement (QI) initiatives.

Results

A total of 463 publications were identified with 21 studies meeting eligibility for final inclusion. A majority of studies (11) observed technical skills with analysis of critical procedures, including tracheal intubation and thoracotomy. The remaining studies observed team dynamics and communication. Overall, eight studies resulted in new policies being put in place for trauma resuscitations and six studies utilized trauma video review as an educational tool.

Conclusions

This study highlights common uses of trauma video review. The greatest benefit for this new technology is in quality improvement and education. The majority of studies focussed on critical procedures and QI initiatives, such as checklists, protocols and continued education. We recommend adoption of video review systems for ongoing improvement of team dynamics and overall trauma and emergency resuscitation.

Résumé

Objectifs

Les réanimations traumatiques sont des situations sporadiques à haute acuité et il est difficile de mener des observations dans la salle de traumatologie dans le but d'améliorer la qualité. Notre objectif est de passer en revue les utilisations contemporaines de l'examen vidéo des traumatismes.

Méthodes

Des recherches ont été menées dans Medline et Embase de 1980 à mai 2020 pour trouver des études impliquant un examen vidéo de traumatismes. Les études anglaises portant sur des populations adultes et pédiatriques ont été incluses dans l'étude et analysées en fonction des utilisations de l'examen vidéo des traumatismes, des résultats mesurés et de toute initiative d'amélioration de la qualité (AQ) en résultant.

Résultats

Un total de 463 publications a été identifié avec 21 études répondant aux critères d'éligibilité pour l'inclusion finale. Une majorité d'études (11) ont observé les compétences techniques avec l'analyse des procédures critiques, notamment l'intubation trachéale et la thoracotomie. Les autres études ont observé la dynamique de l'équipe et la communication. Dans l'ensemble, 8 études ont donné lieu à la mise en place de nouvelles politiques pour les réanimations traumatiques et 6 études ont utilisé l'examen de vidéos de traumatismes comme outil éducatif.

Conclusions

Cette étude met en évidence les utilisations courantes de l'examen vidéo des traumatismes. Le plus grand avantage de cette nouvelle technologie est l'amélioration de la qualité et l'éducation. La majorité des études se sont concentrées sur les procédures critiques et les initiatives d'AQ, telles que les listes de contrôle, les protocoles et la formation continue. Nous recommandons l'adoption de systèmes de révision vidéo pour l'amélioration continue de la dynamique d'équipe et de la réanimation de traumatologie et d'urgence en général.

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Authors and Affiliations

  1. Division of Emergency Medicine, Department of Medicine, University of Toronto, S517-112 George Street, Toronto, ON, M5A 2M5, Canada

    Andrew Quirion, Anton Nikouline & Brodie Nolan

  2. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

    James Jung

  3. International Centre for Surgical Safety, St. Michael’s Hospital, Toronto, ON, Canada

    James Jung & Brodie Nolan

  4. Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada

    Brodie Nolan

  5. Department of Emergency Medicine, St. Michael’s Hospital, Toronto, ON, Canada

    Brodie Nolan

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  1. Andrew Quirion
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Correspondence to Andrew Quirion.

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Quirion, A., Nikouline, A., Jung, J. et al. Contemporary uses of trauma video review: a scoping review. Can J Emerg Med 23, 787–796 (2021). https://doi.org/10.1007/s43678-021-00178-9

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  • DOI: https://doi.org/10.1007/s43678-021-00178-9

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